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SPROUT THERAPY PDX LLC
NPI 1093346777
Counselor in Portland, OR

Active since January 30, 2020
7704 N HEREFORD AVE, PORTLAND, OR 97203(971) 319-4827(503) 662-6220 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 12, 2026, Jun 25, 2025, Jan 30, 2020 (3 updates tracked since 2020).

About Sprout Therapy Pdx Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPROUT THERAPY PDX LLC (NPI 1093346777), doing business as Sprout Therapy Pdx, is a healthcare organization registered as a counselor in Portland, Oregon and active in the NPI registry since January 2020. The organization maintains a secondary practice location in Portland and lists Emelie Angelina Douglas, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093346777
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameSPROUT THERAPY PDX LLC
Location Address7704 N HEREFORD AVEPortland, OR 97203-3434
Mailing Address9133 N Allegheny AvePortland, OR 97203-2303 · (503) 209-0914 · Fax (503) 662-6220
Phone(971) 319-4827
Fax(503) 662-6220
Organization SubpartNo
Authorized OfficialEmelie Angelina DouglasCeo · (503) 209-0914
Enumeration DateJanuary 30, 2020
Last NPPES UpdateMarch 12, 20263 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1093346777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
7704 N HEREFORD AVE, Portland, OR 97203
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Other Names 1

Doing Business AsSprout Therapy Pdx

Secondary Practice Location 1

Location 16011 NE Oregon StPortland, OR 97213-4300 · Phone (971) 319-4827 · Fax (503) 662-6221

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sprout Therapy Pdx Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

25

Medicare enrollment records show 25 clinicians reassign Medicare billing to Sprout Therapy Pdx LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Mental Health Counselor12
Clinical Social Worker11
Marriage and Family Therapist1
Nurse Practitioner1

Nearest to this location (20)

See all 25
Samantha Mandel, LPC
Mental Health Counselor
NPI 1679097091
7704 N HEREFORD AVE
Portland, OR 97203
(971) 319-4827
✔ PECOSSame address
Marie Dubuisson
Mental Health Counselor
NPI 1538831243
7704 N HEREFORD AVE
Portland, OR 97203
(650) 759-4981
✔ PECOSSame address
Hanna Skaggs, MSW
Clinical Social Worker
NPI 1588345029
7704 N HEREFORD AVE
Portland, OR 97203
(971) 319-4827
✔ PECOSSame address
Rachel Sweet
Mental Health Counselor
NPI 1548002538
7704 N HEREFORD AVE
Portland, OR 97203
(541) 954-6006
✔ PECOSSame address
Emelie Douglas, MA, LPC
Mental Health Counselor
NPI 1467821199
9133 N ALLEGHENY AVE
Portland, OR 97203
(971) 319-4827
✔ PECOS1.4 mi
Sadie Kendrick
Mental Health Counselor
NPI 1356969943
1400 NW MARSHALL ST UNIT 326
Portland, OR 97209
(702) 469-2397
✔ PECOS4.0 mi
Mckenna Teague, LCSW
Clinical Social Worker
NPI 1356980239
4224 NE HALSEY ST STE 335
Portland, OR 97213
(970) 795-8774
✔ PECOS6.0 mi
Linnea Dewees
Mental Health Counselor
NPI 1275310328
6011 NE OREGON ST
Portland, OR 97213
(971) 319-4827
✔ PECOS✔ Accepts Medicare6.9 mi
Cara Koch, QMHP-R
Clinical Social Worker
NPI 1609416155
6011 NE OREGON ST
Portland, OR 97213
(971) 319-4827
✔ PECOS6.9 mi
Emily Kuper, LCSW
Clinical Social Worker
NPI 1013560275
6011 NE OREGON ST
Portland, OR 97213
(971) 319-4827
✔ PECOS6.9 mi
Katya Ludwig, LCSW, SEP
Clinical Social Worker
NPI 1871955567
6011 NE OREGON ST
Portland, OR 97213
(971) 319-4827
✔ PECOS6.9 mi
Paul Waude
Mental Health Counselor
NPI 1528796281
6011 NE OREGON ST
Portland, OR 97213
(971) 319-4827
✔ PECOS6.9 mi
Laura Garcia
Mental Health Counselor
NPI 1841824356
6011 NE OREGON ST
Portland, OR 97213
(971) 319-4827
✔ PECOS6.9 mi
Olivia Heitz
Mental Health Counselor
NPI 1801558259
6011 NE OREGON ST
Portland, OR 97213
(971) 319-4827
✔ PECOS6.9 mi
Sarah Poulisse, MSW
Clinical Social Worker
NPI 1538599725
6011 NE OREGON ST
Portland, OR 97213
(971) 319-4827
✔ PECOS6.9 mi
Carly Spaulding, BSW
Clinical Social Worker
NPI 1861018905
6011 NE OREGON ST
Portland, OR 97213
(971) 319-4827
✔ PECOS6.9 mi
Paulette Suhr, RN
Mental Health Counselor
NPI 1922696483
6011 NE OREGON ST
Portland, OR 97213
(971) 319-4827
✔ PECOS✔ Accepts Medicare6.9 mi
Mary Dressler, LCSW
Clinical Social Worker
NPI 1558705624
5200 S MACADAM AVE STE 580
Portland, OR 97239
(503) 231-7854
✔ PECOS7.1 mi
Gretchen Rude, MA
Mental Health Counselor
NPI 1588371504
1401 NE 68TH AVE
Portland, OR 97213
(503) 988-5090
✔ PECOS7.1 mi
Shannon Macminn
Marriage and Family Therapist
NPI 1891056057
3415 SE POWELL BLVD
Portland, OR 97202
(503) 234-9591
✔ PECOS7.4 mi
See all 25 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sprout Therapy Pdx LLC's NPI number?

The NPI number for Sprout Therapy Pdx LLC is 1093346777. It was assigned to this organization in the NPPES registry on January 30, 2020. The provider is doing business as Sprout Therapy PDX.

Where is Sprout Therapy Pdx LLC located?

Sprout Therapy Pdx LLC is located at 7704 N Hereford Ave, Portland, OR 97203. The listed phone number is (971) 319-4827.

What is Sprout Therapy Pdx LLC's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Sprout Therapy Pdx LLC enrolled in Medicare?

Yes. Sprout Therapy Pdx LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sprout Therapy Pdx LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 4 Medicare specialties reassign their Medicare billing to Sprout Therapy Pdx LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (12), Clinical Social Worker (11) and Marriage and Family Therapist (1). Of these, 4 practice at this address and 22 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sprout Therapy Pdx LLC accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Sprout Therapy Pdx LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sprout Therapy Pdx LLC was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.