SECOND GROWTH COUNSELING
NPI 1871083691
Counselor - Professional in Portland, OR

Q: What is Second Growth Counseling LLC's NPI number?

The NPI number for Second Growth Counseling LLC is 1871083691. It was assigned to this organization in the NPPES registry on May 16, 2018. The provider is doing business as Second Growth Counseling.

Q: What is Second Growth Counseling LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since May 16, 2018

959 SE DIVISION ST STE 520, PORTLAND, OR 97214(503) 549-4714(503) 506-0411 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 6, 2020, May 16, 2018 (2 updates tracked since 2018).

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About Second Growth Counseling NPPES

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

SECOND GROWTH COUNSELING (NPI 1871083691) is a healthcare organization registered as a professional in Portland, Oregon and active in the NPI registry since May 2018. The organization maintains a secondary practice location in Portland and lists Kelly Carlyn Grace, Owner, as its authorized official.

NPPES Registry Identity

NPI1871083691

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameSECOND GROWTH COUNSELING LLC

Location Address959 SE DIVISION ST STE 520Portland, OR 97214-4672

Mailing AddressPo Box 90309Portland, OR 97290-0309 · (503) 549-4714

Phone(503) 549-4714

Fax(503) 506-0411

Organization SubpartNo

Authorized OfficialKelly Carlyn GraceOwner · (618) 339-7497

Enumeration DateMay 16, 2018

Last NPPES UpdateAugust 2, 20232 updates tracked since enumeration

NPPES CertifiedAugust 2, 2023

✔ NPI 1871083691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OR · C3909

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License R4154 (OR)

959 SE DIVISION ST STE 520, Portland, OR 97214

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Other Names 1

Doing Business AsSecond Growth Counseling

Secondary Practice Location 1

Location 19201 SE Foster Rd Ste 205&206Portland, OR 97266-4644 · Phone (503) 549-4714 · Fax (503) 506-0411

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 8

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

ANTHONY MICHAEL GRACE LPC

Counselor (Professional)