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LIGHT MIND WELLNESS
NPI 1174111561
Marriage & Family Therapist in Portland, OR

Active since January 01, 2021
6734 SE RAYMOND ST, PORTLAND, OR 97206(503) 926-9567 Get Directions Write a Review

NPPES record last updated: February 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 15, 2021, Jan 1, 2021 (2 updates tracked since 2021).

About Light Mind Wellness NPPES

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

LIGHT MIND WELLNESS (NPI 1174111561) is a healthcare organization registered as a marriage & family therapist in Portland, Oregon and active in the NPI registry since January 2021. The organization lists Julia Perretta, Owner/practitioner, as its authorized official.

NPPES Registry Identity

NPI1174111561
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameLIGHT MIND WELLNESS
Location Address6734 SE RAYMOND STPortland, OR 97206-4520
Mailing Address5010 Se Foster RdPortland, OR 97206-3039 · (503) 926-9567
Phone(503) 926-9567
Organization SubpartNo
Authorized OfficialJulia PerrettaOwner/practitioner · (503) 926-9567
Enumeration DateJanuary 1, 2021
Last NPPES UpdateFebruary 15, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2021
✔ NPI 1174111561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
6734 SE RAYMOND ST, Portland, OR 97206
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Other Names 1

Other NameLight Mind Wellness

Other Identifiers 1

Other1518377167Personal Npi

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 Light Mind Wellness's NPI number?

The NPI number for Light Mind Wellness is 1174111561. It was assigned to this organization in the NPPES registry on January 1, 2021.

Where is Light Mind Wellness located?

Light Mind Wellness is located at 6734 SE Raymond St, Portland, OR 97206. The listed phone number is (503) 926-9567.

What is Light Mind Wellness's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Light Mind Wellness was last updated on February 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.