SPROUT THERAPY PDX LLC
NPI 1093346777
Counselor in Portland, OR

Q: 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.

Q: What is Sprout Therapy Pdx LLC's specialty?

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

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: August 02, 2026.

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

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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..Insurance ›

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANE KITTS ASSOCIATE THERAPIST

Marriage & Family Therapist