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GREAT BLUE HERON COUNSELING LLC
NPI 1154288041
Social Worker - Clinical in Portland, OR

Active since January 05, 2026
4223 SE 66TH AVE, PORTLAND, OR 97206(503) 400-3265 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Great Blue Heron Counseling Llc NPPES

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

GREAT BLUE HERON COUNSELING LLC (NPI 1154288041) is a healthcare organization registered as a clinical in Portland, Oregon and active in the NPI registry since January 2026. The organization lists Ryan Lutz, Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1154288041
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameGREAT BLUE HERON COUNSELING LLC
Location Address4223 SE 66TH AVEPortland, OR 97206-3658
Mailing Address4223 Se 66th AvePortland, OR 97206-3658 · (503) 400-3265
Phone(503) 400-3265
Organization SubpartNo
Authorized OfficialRyan LutzClinical Social Worker · (503) 400-3265
Enumeration DateJanuary 5, 2026
NPPES CertifiedJanuary 5, 2026
✔ NPI 1154288041 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.
4223 SE 66TH AVE, Portland, OR 97206
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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

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

RYAN ROBERT LUTZ MSW, LCSW
Social Worker (Clinical)
4223 SE 66TH AVE
PORTLAND, OR 97206
Multnomah County (503) 400-3265

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 Great Blue Heron Counseling LLC's NPI number?

The NPI number for Great Blue Heron Counseling LLC is 1154288041. It was assigned to this organization in the NPPES registry on January 5, 2026.

Where is Great Blue Heron Counseling LLC located?

Great Blue Heron Counseling LLC is located at 4223 SE 66th Ave, Portland, OR 97206. The listed phone number is (503) 400-3265.

What is Great Blue Heron 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 Great Blue Heron Counseling LLC was last updated on January 5, 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.