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ROSE HEINEMAN
NPI 1619718392
Counselor - Mental Health in Portland, OR

Active since June 05, 2024
209 SW 4TH AVE, STE 520, PORTLAND, OR 97204(503) 988-5464 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2026, Jun 5, 2024 (2 updates tracked since 2024).

About Rose Heineman NPPES

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

ROSE HEINEMAN (NPI 1619718392) is an individual mental health provider in Portland, Oregon, licensed in Oregon (R9078) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1619718392
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameROSE HEINEMAN
Location Address209 SW 4TH AVE, STE 520Portland, OR 97204-1813
Mailing Address209 Sw 4th Ave, Ste 520Portland, OR 97204-1813 · (503) 988-5464
Phone(503) 988-5464
Sole ProprietorNo
Enumeration DateJune 5, 2024
Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
✔ NPI 1619718392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · R9078
209 SW 4TH AVE, Portland, OR 97204
Open in Google Maps ↗

Other Providers at the Same Location NPPES 13

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

ROBERT J LIZARDY
Marriage & Family Therapist
209 SW 4TH AVE
PORTLAND, OR 97204
Multnomah County (719) 680-0436
SOAD NUR ABDI
Case Manager/Care Coordinator
209 SW 4TH AVE
PORTLAND, OR 97204
Multnomah County (503) 231-2629
MS. MELANIE ANNE RIXFORD
Social Worker (Clinical)
209 SW 4TH AVE, SUITE 520
PORTLAND, OR 97204
Multnomah County (503) 988-5464
LAUREN RIDDLE
Peer Specialist
209 SW 4TH AVE
PORTLAND, OR 97204
Multnomah County (503) 988-5464
KANOELEHUA EGLESTON
Counselor (Mental Health)
209 SW 4TH AVE
PORTLAND, OR 97204
Multnomah County (503) 310-8847
MULTNOMAH COUNTY
Clinic/Center (Public Health, State or Local)
209 SW 4TH AVE
PORTLAND, OR 97204
Multnomah County (503) 445-7699
ROSE-YVENIE ALEXANDRE
Student in an Organized Health Care Education/Training Program
209 SW 4TH AVE
PORTLAND, OR 97204
Multnomah County (503) 988-5464
ALEX GARCIA
Counselor (School)
209 SW 4TH AVE
PORTLAND, OR 97204
Multnomah County (503) 988-5464

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 Rose Heineman's NPI number?

The NPI number for Rose Heineman is 1619718392. It was assigned to this individual provider in the NPPES registry on June 5, 2024.

Where is Rose Heineman located?

Rose Heineman practices at 209 SW 4th Ave Ste 520, Portland, OR 97204. The listed phone number is (503) 988-5464.

What is Rose Heineman's specialty?

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

When was this NPI record last updated?

The NPPES record for Rose Heineman was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.