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MINDFUL THERAPY PACIFIC NW, LLC
NPI 1437810538
Counselor - Mental Health in Portland, OR

Active since January 01, 2022
2245 SW TROY ST, PORTLAND, OR 97219(503) 341-6393(888) 920-2077 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2024, Dec 12, 2022, Jan 1, 2022 (3 updates tracked since 2022).

About Mindful Therapy Pacific Nw, Llc NPPES

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

MINDFUL THERAPY PACIFIC NW, LLC (NPI 1437810538) is a healthcare organization registered as a mental health in Portland, Oregon and active in the NPI registry since January 2022. The organization lists Jennifer Samsom, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1437810538
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMINDFUL THERAPY PACIFIC NW, LLC
Location Address2245 SW TROY STPortland, OR 97219-2657
Mailing Address2245 Sw Troy StPortland, OR 97219-2657 · (503) 341-6393 · Fax (888) 920-2077
Phone(503) 341-6393
Fax(888) 920-2077
Organization SubpartNo
Authorized OfficialJennifer SamsomExecutive Director · (503) 341-6393
Enumeration DateJanuary 1, 2022
Last NPPES UpdateSeptember 30, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
✔ NPI 1437810538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2245 SW TROY ST, Portland, OR 97219
Open in Google Maps ↗

Other Identifiers 2

Medicaid1003129115OR
Medicaid500827243OR

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 5

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

JENNIFER D SAMSOM MA
Counselor (Mental Health)
2245 SW TROY ST
PORTLAND, OR 97219
Multnomah County (503) 341-6393
EDEN SWARTZ
Counselor (Mental Health)
2245 SW TROY ST
PORTLAND, OR 97219
Multnomah County (503) 341-6393
CHRISTOPHER ROBERT BOOTHBY LPC
Counselor (Professional)
2245 SW TROY ST
PORTLAND, OR 97219
Multnomah County (503) 482-9233
NICOLE A DOVE COUNSELING INTERN,
Registered Nurse
2245 SW TROY ST
PORTLAND, OR 97219
Multnomah County (503) 760-4000
LINDSEY NEILSON LPCA
Counselor
2245 SW TROY ST
PORTLAND, OR 97219
Multnomah County (503) 766-4000

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 Mindful Therapy Pacific NW, LLC's NPI number?

The NPI number for Mindful Therapy Pacific NW, LLC is 1437810538. It was assigned to this organization in the NPPES registry on January 1, 2022.

Where is Mindful Therapy Pacific NW, LLC located?

Mindful Therapy Pacific NW, LLC is located at 2245 SW Troy St, Portland, OR 97219. The listed phone number is (503) 341-6393.

What is Mindful Therapy Pacific NW, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Mindful Therapy Pacific NW, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Mindful Therapy Pacific NW, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mindful Therapy Pacific NW, LLC was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.