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RECOVERED ROOTS COUNSELING LLC
NPI 1679398333
Counselor - Mental Health in Portland, OR

Active since November 18, 2024
4510 SE HOLGATE BLVD, PORTLAND, OR 97206(503) 451-5148(503) 883-8208 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 7, 2025, Nov 18, 2024 (2 updates tracked since 2024).

About Recovered Roots Counseling Llc NPPES

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

RECOVERED ROOTS COUNSELING LLC (NPI 1679398333), doing business as Recovered Roots Counseling, is a healthcare organization registered as a mental health in Portland, Oregon and active in the NPI registry since November 2024. The organization lists Jonathan Willden, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679398333
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameRECOVERED ROOTS COUNSELING LLC
Location Address4510 SE HOLGATE BLVDPortland, OR 97206-4020
Mailing Address2850 Sw Cedar Hills Blvd # 2064Beaverton, OR 97005-1354
Phone(503) 451-5148
Fax(503) 883-8208
Organization SubpartNo
Authorized OfficialJonathan WilldenCeo · (503) 451-5148
Enumeration DateNovember 18, 2024
Last NPPES UpdateOctober 7, 20252 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
✔ NPI 1679398333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4510 SE HOLGATE BLVD, Portland, OR 97206
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Other Names 1

Doing Business AsRecovered Roots Counseling

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, Regence BlueCross BlueShield of Oregon.Insurance ›

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 Recovered Roots Counseling LLC's NPI number?

The NPI number for Recovered Roots Counseling LLC is 1679398333. It was assigned to this organization in the NPPES registry on November 18, 2024. The provider is doing business as Recovered Roots Counseling.

Where is Recovered Roots Counseling LLC located?

Recovered Roots Counseling LLC is located at 4510 SE Holgate Blvd, Portland, OR 97206. The listed phone number is (503) 451-5148.

What is Recovered Roots Counseling LLC's specialty?

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

What insurance does Recovered Roots Counseling LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Recovered Roots Counseling 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 Recovered Roots Counseling LLC was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.