LIGHT MIND WELLNESS
Marriage & Family Therapist

Address: 6734 Se Raymond St, Portland, OR 97206-4520

LIGHT MIND WELLNESS (NPI# 1174111561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174111561
Entity Type Organization
Organization Name LIGHT MIND WELLNESS
Practice Address 6734 Se Raymond St
Portland
OR 97206-4520
Practice Telephone 5039269567
Mailing Address 6734 Se Raymond St
Portland
OR 97206-4520
Mailing Telephone 5039269567
Certification Date 2021-01-01
Enumeration Date 2021-01-01
Last Update Date 2021-01-01
Authorized Official Telephone 5039269567
Authorized Official Credential LMFT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PERSONAL NPI 1518377167 Other

Other Provider/Organization Names

Other Name Type Code
Light Mind Wellness Other Name

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
CONNECT URL *** 6734 Se Raymond St, Portland, OR 972064520

Office Location

Street Address 6734 SE RAYMOND ST
City PORTLAND
State OR
Zip Code 97206-4520

Providers in the same zip code prefix

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1346852365 Amanda Kristine Fredrickson Dietitian, Registered 3611 Se 64th Ave., Portland, OR 97206 2020-08-20
1578108940 Amy Groulx Technician · Attendant Care Provider 5506 Se Mitchell St, Portland, OR 97206 2019-11-08
1477061265 Lisa Marie Matejka Naturopath 5235 Se Lambert St, Apt. #b6, Portland, OR 97206 2018-01-16
1639625205 Mollie Kathleen Pence · Mollie Kathleen Gardner Registered Nurse 2415 43rd Ave, Suite 100, Cascadia Behavioral Healthcare Urgent Walkin Clinic, Portland, OR 97206 2016-09-01
1457709164 Lauren Murdoch Massage Therapist 4629 Southeast Woodstock Boulevard, Portland, OR 97206 2016-06-03
1962897785 Meigra Simon LLC Mechanotherapist 6842 Se Henry St, Portland, OR 97206 2015-03-30
1891186508 Teresa Leckron-Myers Case Manager/Care Coordinator 7916 Se Foster Rd, Portland, OR 97206 2015-02-17
1831597590 Boey Yean Lim · May Lim Acupuncturist 4629 Se Woodstock Blvd, Portland, OR 97206 2014-12-12
1295082329 Chase Heywood Price Acupuncturist 5425 Se Raymond Street, Portland, OR 97206 2012-08-08
1154678423 Annelise Sevastiana Schnase Counselor · Mental Health 4311 Se Woodstock Blvd, Portland, OR 97206 2012-08-06
Find all providers in zip 97206

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649867706 Kathleen Maria Kane 75 Pearl St Ste 460, Portland, ME 04101-7116 2020-12-23
1669082061 Kelsey Miller 5515 N Williams Ave, Portland, OR 97217-2452 2020-07-31
1255959631 Veronica Terese Valdez 4445 S Barbur Blvd Ste 205, Portland, OR 97239-4047 2020-07-11
1649896630 Moving Forward Staying Present LLC 8083 Se 13th Ave Ste 3, Portland, OR 97202-6668 2020-06-25
1669001723 Jennifer Melissa Moss 12356 Ne Brazee St, Portland, OR 97230-1841 2020-04-02
1174150536 Jessica Ann Luvshis · Jessica Ann Schnur 424 Ne 22nd Ave., Portland, OR 97232-2809 2020-03-25
1174153225 Amanda Fitzpatrick 5410 Sw Macadam Ave Ste 250, Portland, OR 97239-3807 2020-01-16
1679114003 Craig Cardamone Individual and Relational Therapy Pllc 12 Kellogg St Apt 1, Portland, ME 04101-4375 2019-10-07
1538716816 Ayala Parker 3540 Sw Boundary St, Portland, OR 97221-3817 2019-08-21
1720648363 Alicia Roshelle Turgesen 835 Se Stephens St Ste 202, Portland, OR 97214-4636 2019-06-17
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Competitor

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City PORTLAND
Zip Code 97206

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.