WILD OPEN BEING, LLC
NPI 1265288542
Counselor - Professional in Portland, OR

Active since April 26, 2024
7831 SE STARK ST STE 211, PORTLAND, OR 97215(714) 609-0015 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Counselor
  • Professional

About WILD OPEN BEING, LLC

This page provides the complete NPI Profile along with additional information for Wild Open Being, Llc, a provider established in Portland, Oregon operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1265288542 assigned on April 2024. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Wild Open Being, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Simone Levine (Owner)

NPI
1265288542 Verify this NPI
Provider Name
WILD OPEN BEING, LLC
Entity Type
Organization
Location Address
7831 SE STARK ST STE 211 PORTLAND, OR 97215
Location Phone
(714) 609-0015
Mailing Address
1512 NE HOLMAN ST PORTLAND, OR 97211
Mailing Phone
(714) 609-0015
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-26-2024
Last Update Date
04-26-2024
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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

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SIMONE LEVINE

Authorized Official Title
OWNER
Authorized Official Phone
(714) 609-0015

Reviews for WILD OPEN BEING, LLC

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Marriage & Family Therapist
7831 SE STARK ST STE 211
PORTLAND, OR 97215
Marriage & Family Therapist
7831 SE STARK ST STE 211
PORTLAND, OR 97215
Physician Assistant
7831 SE STARK ST STE 211
PORTLAND, OR 97215
Counselor (Mental Health)
7831 SE STARK ST STE 211
PORTLAND, OR 97215
Counselor (Mental Health)
7831 SE STARK ST STE 211
PORTLAND, OR 97215
Physician Assistant
7831 SE STARK ST STE 211
PORTLAND, OR 97215
Counselor
7831 SE STARK ST STE 211
PORTLAND, OR 97215

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265288542, enumerated as an "organization" on April 26, 2024.

The provider is located at 7831 SE STARK ST STE 211 PORTLAND, OR 97215 and the phone number is (714) 609-0015.

Counselor with taxonomy code 101YP2500X and a focus in Professional.