NPIMap

Organization Active NPI

C.H.E.R.I.I.S.H. Counseling LLC

  • Clinical Social Worker
  • Gresham, OR
National Provider Identifier
1972065571
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
C.H.E.R.I.I.S.H. COUNSELING LLC
Practice address
320 N Main Ave Ste 201D
Gresham, OR 97030-7242
Phone
(971) 220-2496
NPI assigned
Apr 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alycia SmithNPI 1679939920
Title
Member/Therapist
Phone
(971) 220-2496

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

320 N Main Ave Ste 201D
Gresham, OR 97030-7242

Mailing address

4233 SE 182ND Ave # 212
Gresham, OR 97030-5082

Other practice location 1

123 E Powell Blvd Ste 303
Gresham, OR 97030-7620
Phone (971) 220-1495

National Provider Directory

National Provider Directory

Locations

2951 NW Division St
Ste 165
Gresham, OR 97030
Phone (971) 220-2496

320 N Main Ave
Ste 201D
Gresham, OR 97030
Phone (503) 568-1509

123 E Powell Blvd
Ste 303
Gresham, OR 97030
Phone (503) 308-9140

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1972065571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4233 SE 182ND AVE # 212",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N MAIN AVE STE 201D",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307242",
            "telephone_number": "971-220-2496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 E Powell Blvd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970307620",
            "country_code": "US",
            "telephone_number": "971-220-1495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "C.H.E.R.I.I.S.H. COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ALYCIA",
        "authorized_official_title_or_position": "MEMBER/THERAPIST",
        "authorized_official_telephone_number": "971-220-2496"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.