CENTERED GROWTH COUNSELING, LLC (NPI# 1417486671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417486671 |
| Entity Type | Organization |
| Organization Name | CENTERED GROWTH COUNSELING, LLC |
| Practice Address |
14511 Westlake Dr Ste 120 Lake Oswego OR 97035 |
| Mailing Address |
14511 Westlake Dr Ste 120 Lake Oswego OR 97035-7773 |
| Practice Telephone | 5037656209 |
| Mailing Telephone | 5037656209 |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2020-02-12 |
| Authorized Official Name | DANE NIELSEN (OWNER) |
| Authorized Official Telephone | 5037656209 |
| Authorized Official Credential | MA, LPC, CADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CENTERED GROWTH COUNSELING, LLC | 14511 Westlake Dr Ste 120, Lake Oswego, OR 97035 |
| Street Address |
14511 WESTLAKE DR STE 120 |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669454138 | Judith Marie Ashby | Social Worker | 14511 Westlake Dr Ste 120, Lake Oswego, OR 97035-7773 | 2005-11-18 |
| 1427590280 | Mountain Peak Counseling, LLC | Counselor | 14511 Westlake Dr Ste 120, Lake Oswego, OR 97035-7773 | 2016-11-10 |
| 1952773137 | Dane Nielsen | Counselor | 14511 Westlake Dr Ste 120, Lake Oswego, OR 97035-7773 | 2015-10-27 |
| 1083028922 | Jason Flaig | Counselor | 14511 Westlake Dr Ste 120, Lake Oswego, OR 97035-7773 | 2014-06-18 |
| 1982991584 | Robert William Garber | Social Worker | 14511 Westlake Dr Ste 120, Lake Oswego, OR 97035-7773 | 2011-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
| 1528671567 | Martin Henry Lees | Internal Medicine | 14 Morningview Lane, Lake Oswego, OR 97035 | 2020-08-28 |
| 1356976187 | Premere Rehab LLC | Occupational Therapist | Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2020-03-12 |
| 1689212193 | Jennifer Chauvin | Nurse Practitioner | 20 Juarez Street, Lake Oswego, OR 97035 | 2019-12-16 |
| 1003396888 | Sarah Guenzburger | Physical Therapist | 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2018-08-21 |
| 1568964252 | Brett Johnson | Marriage & Family Therapist | 5655 Southwood Dr, Lake Oswego, OR 97035 | 2018-03-08 |
| 1912416561 | Michael Paul Long | Social Worker | 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 | 2017-09-27 |
| 1467807859 | Misty Lohn | Nurse Practitioner | 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 | 2016-05-04 |
| 1326405473 | Kelsey Prince | Behavioral Analyst | 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 | 2016-01-20 |
| 1942683388 | Elizabeth Risberg Harrison | Massage Therapist | 190 Oswego Summit, Lake Oswego, OR 97035 | 2015-07-02 |
| Find all providers in zip 97035 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740844539 | New Avenues for Youth | Clinic/Center | 2595 Christie Dr., Lake Oswego, OR 97034 | 2019-04-26 |
| 1306443783 | Abby Bohn LLC | Clinic/Center | 6025 Jean Rd Ste B, Lake Oswego, OR 97035-5307 | 2020-10-08 |
| 1376024695 | Oregon Truama Center | Clinic/Center | 5 Centerpointe Dr Ste 400, Lake Oswego, OR 97035-8661 | 2018-08-24 |
| 1679927644 | Melody Jones, Pmhnp, LLC | Clinic/Center | 4860 Centerwood St, Lake Oswego, OR 97035-8203 | 2016-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226625 | Centered Therapy LLC | Clinic/Center | 300 Se Reed Market Rd Ste 260, Bend, OR 97702-3816 | 2020-08-17 |
| 1124637236 | Inner Light Counseling & Bodywork LLC | Clinic/Center | 2520 Chaucer Ct, Eugene, OR 97405-1217 | 2020-07-24 |
| 1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
| 1912521998 | The Practice of Jeffery Wise Therapeutics Pmhnp-bc | Clinic/Center | 2651 Nw Thurman St Apt 303, Portland, OR 97210-2327 | 2020-06-04 |
| 1326661448 | Kgk Therapeutic Services | Clinic/Center | 1138 Jefferson St, Eugene, OR 97402-5246 | 2020-05-22 |
| 1831723642 | Wild River Counseling and Consultation, LLC | Clinic/Center | 107 E Main St Ste 7, Medford, OR 97501-6022 | 2020-03-02 |
| 1356973010 | Holistic Healing Behavioral Healthcare | Clinic/Center | 5257 Ne Martin Luther King Blvd Ste 201, Portland, OR 97211-3283 | 2020-02-10 |
| 1336786730 | Sarah Kaufman Counseling | Clinic/Center | 492 E 13th Ave Ste 210, Eugene, OR 97401-4268 | 2019-12-04 |
| 1942845805 | I. Keith Orton, Phd | Clinic/Center | 745 Nw Mt Washington Dr Ste 301, Bend, OR 97703-1576 | 2019-11-14 |
| 1407408305 | Adaptability for Life LLC | Clinic/Center | 309 N 1st St, Silverton, OR 97381-1605 | 2019-07-10 |
| Find all providers with the same taxonomy | ||||
| City | LAKE OSWEGO |
| Zip Code | 97035 |
Please comment or provide details below to improve the information on CENTERED GROWTH COUNSELING, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.