A LITTLE LIGHT COLLECTIVE, LLC
NPI 1124851167
Clinic/Center - Mental Health (Including Community Mental Health Center) in Portland, OR

Active since August 23, 2024
4605 NE FREMONT ST STE 210F, PORTLAND, OR 97213(503) 994-6702 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2025, Aug 23, 2024 (2 updates tracked since 2024).

About A Little Light Collective, Llc NPPES

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

A LITTLE LIGHT COLLECTIVE, LLC (NPI 1124851167) is a healthcare organization registered as a mental health (including community mental health center) in Portland, Oregon and active in the NPI registry since August 2024. The organization lists Jordan Mae Dobrovolny, Member, as its authorized official.

NPPES Registry Identity

NPI1124851167
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameA LITTLE LIGHT COLLECTIVE, LLC
Location Address4605 NE FREMONT ST STE 210FPortland, OR 97213-1707
Mailing Address1717 Ne 42nd Ave Ste 3200Portland, OR 97213-1572 · (503) 994-6702
Organization SubpartNo
Authorized OfficialJordan Mae DobrovolnyMember · (503) 994-6702
Enumeration DateAugust 23, 2024
Last NPPES UpdateJune 3, 20252 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
NPI 1124851167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
4605 NE FREMONT ST STE 210F, Portland, OR 97213

Other Names 1

Other NameJordan Dobrovolny Lcsw

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

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 A Little Light Collective, LLC's NPI number?

The NPI number for A Little Light Collective, LLC is 1124851167. It was assigned to this organization in the NPPES registry on August 23, 2024. The provider is also known as Jordan Dobrovolny LCSW.

Where is A Little Light Collective, LLC located?

A Little Light Collective, LLC is located at 4605 NE Fremont St Ste 210F, Portland, OR 97213. The listed phone number is (503) 994-6702.

What is A Little Light Collective, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for A Little Light Collective, LLC was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.