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RADICAL HEALING PSYCHOTHERAPY, LLC
NPI 1710868443
Social Worker - Clinical in Portland, OR

Active since September 09, 2025
5020 NE MARTIN LUTHER KING BLVD, PORTLAND, OR 97211(971) 330-0612 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Radical Healing Psychotherapy, Llc NPPES

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

RADICAL HEALING PSYCHOTHERAPY, LLC (NPI 1710868443) is a healthcare organization registered as a clinical in Portland, Oregon and active in the NPI registry since September 2025. The organization lists Marilyn Stephens, Owner, as its authorized official.

NPPES Registry Identity

NPI1710868443
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameRADICAL HEALING PSYCHOTHERAPY, LLC
Location Address5020 NE MARTIN LUTHER KING BLVDPortland, OR 97211-3204
Mailing Address15200 Sw Sparrow Loop Unit 102Beaverton, OR 97007-9358 · (971) 330-0612
Phone(971) 330-0612
Organization SubpartNo
Authorized OfficialMarilyn StephensOwner · (971) 330-0612
Enumeration DateSeptember 9, 2025
NPPES CertifiedSeptember 9, 2025
✔ NPI 1710868443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

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 ›

Other Providers at the Same Location NPPES

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

TATIANA MOUTON
Massage Therapist
5020 NE MARTIN LUTHER KING BLVD
PORTLAND, OR 97211
Multnomah County (503) 902-1122

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 Radical Healing Psychotherapy, LLC's NPI number?

The NPI number for Radical Healing Psychotherapy, LLC is 1710868443. It was assigned to this organization in the NPPES registry on September 9, 2025.

Where is Radical Healing Psychotherapy, LLC located?

Radical Healing Psychotherapy, LLC is located at 5020 NE Martin Luther King Blvd, Portland, OR 97211. The listed phone number is (971) 330-0612.

What is Radical Healing Psychotherapy, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Radical Healing Psychotherapy, LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Radical Healing Psychotherapy, 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 Radical Healing Psychotherapy, LLC was last updated on September 9, 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.