CONNECTED SPACE COUNSELING, LLC
NPI 1194433250
Counselor - Professional in Gresham, OR
- Organization
- Counselor
- Professional
- Accepts Insurance
About CONNECTED SPACE COUNSELING, LLC
This page provides the complete NPI Profile along with additional information for Connected Space Counseling, Llc, a provider established in Gresham, Oregon operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1194433250 assigned on November 2022. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated June 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Frances Leanne Clark Ma, Lpc (Owner)
- NPI
- 1194433250 Verify this NPI
- Provider Name
- CONNECTED SPACE COUNSELING, LLC
- Entity Type
- Organization
- Location Address
- 649 NE HOOD AVE GRESHAM, OR 97030
- Location Phone
- (971) 404-4688
- Location Fax
- (971) 273-2708
- Mailing Address
- PO BOX 1245 SANDY, OR 97055
- Mailing Phone
- (971) 404-4668
- Mailing Fax
- (971) 273-2708
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-08-2022
- Last Update Date
- 06-12-2026
- Code Navigator
Location Map
Secondary Locations
- 532 N Main Ave
Gresham, OR 97030
(971) 404-4668
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
- Bronze HSA 7000 Individual Connect - EPO
- Gold 2300 Individual Connect - EPO
- Regence Standard Bronze Plan Individual Connect - EPO
- Regence Standard Gold Plan Individual Connect - EPO
- Regence Standard Silver Plan Individual Connect - EPO
- Silver 6500 Individual Connect - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194433250, enumerated as an "organization" on November 08, 2022.
The provider is located at 649 NE HOOD AVE GRESHAM, OR 97030 and the phone number is (971) 404-4688.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: BridgeSpan Health Company and Regence BlueCross. Please consult your insurance carrier or call the provider to verify.
