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RISING MOON THERAPY CENTER LLC
NPI 1871211151
Clinic/Center - Mental Health (Including Community Mental Health Center) in Portland, OR

Active since August 22, 2022
4301 SW DOSCH RD, PORTLAND, OR 97239(503) 512-0958 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Rising Moon Therapy Center Llc NPPES

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

RISING MOON THERAPY CENTER LLC (NPI 1871211151) is a healthcare organization registered as a mental health (including community mental health center) in Portland, Oregon and active in the NPI registry since August 2022. The organization lists Alicia Simone, Owner/lmft, as its authorized official.

NPPES Registry Identity

NPI1871211151
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameRISING MOON THERAPY CENTER LLC
Location Address4301 SW DOSCH RDPortland, OR 97239-1378
Mailing Address6312 Sw Capitol Hwy # 245Portland, OR 97239-1938 · (503) 512-0958
Phone(503) 512-0958
Organization SubpartNo
Authorized OfficialAlicia SimoneOwner/lmft · (503) 512-0958
Enumeration DateAugust 22, 2022
NPPES CertifiedAugust 22, 2022
✔ NPI 1871211151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
4301 SW DOSCH RD, Portland, OR 97239
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Other Providers at the Same Location NPPES

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

MS. MELLA G KAUFMAN M.A.
Counselor (Mental Health)
4301 SW DOSCH RD
PORTLAND, OR 97239
Multnomah County (503) 313-9070

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 Rising Moon Therapy Center LLC's NPI number?

The NPI number for Rising Moon Therapy Center LLC is 1871211151. It was assigned to this organization in the NPPES registry on August 22, 2022.

Where is Rising Moon Therapy Center LLC located?

Rising Moon Therapy Center LLC is located at 4301 SW Dosch Rd, Portland, OR 97239. The listed phone number is (503) 512-0958.

What is Rising Moon Therapy Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Rising Moon Therapy Center LLC was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.