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ETERNAL BLOSSOM COUNSELING LLC
NPI 1104389170
Social Worker - Clinical in Portland, OR

Active since April 08, 2019
4531 SE BELMONT ST STE 310, PORTLAND, OR 97215(503) 810-1170 Get Directions Write a Review

NPPES record last updated: April 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eternal Blossom Counseling Llc NPPES

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

ETERNAL BLOSSOM COUNSELING LLC (NPI 1104389170) is a healthcare organization registered as a clinical in Portland, Oregon and active in the NPI registry since April 2019. The organization lists Aiyana Lucas, Licensed Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1104389170
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameETERNAL BLOSSOM COUNSELING LLC
Location Address4531 SE BELMONT ST STE 310Portland, OR 97215-1675
Mailing Address3335 Se 69th AvePortland, OR 97206-2613 · (503) 810-1170
Phone(503) 810-1170
Organization SubpartNo
Authorized OfficialAiyana LucasLicensed Clinical Social Worker · (971) 361-6747
Enumeration DateApril 8, 2019
✔ NPI 1104389170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4531 SE BELMONT ST STE 310, Portland, OR 97215
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Other Identifiers 1

Medicaid500731868OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. ADABEL LEE PHD
Psychologist (Clinical)
4531 SE BELMONT ST STE 310
PORTLAND, OR 97215
Multnomah County (971) 303-8844
ADABEL LEE, PHD LLC
Psychologist (Clinical)
4531 SE BELMONT ST STE 310
PORTLAND, OR 97215
Multnomah County (971) 303-8844

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 Eternal Blossom Counseling LLC's NPI number?

The NPI number for Eternal Blossom Counseling LLC is 1104389170. It was assigned to this organization in the NPPES registry on April 8, 2019.

Where is Eternal Blossom Counseling LLC located?

Eternal Blossom Counseling LLC is located at 4531 SE Belmont St Ste 310, Portland, OR 97215. The listed phone number is (503) 810-1170.

What is Eternal Blossom Counseling LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Eternal Blossom Counseling LLC was last updated on April 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.