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Active NPI 1194433250 Organization (Entity Type 2)

Connected Space Counseling, Llc

Counselor - Professional • Gresham, OR

About Connected Space Counseling, Llc NPI 1194433250 Summary

Connected Space Counseling, Llc is a verified healthcare organization specializing in Counselor - Professional operating in Gresham, OR. Located at 649 NE HOOD AVE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1194433250.

Administrative operations and authorized compliance are overseen by Frances Clark (Owner).

The facility is associated with 12 linked healthcare practitioners providing clinical services. In addition to its main center, the organization maintains 1 secondary practice location in the region.

Facility Location & Contact Primary Location

Facility Address

649 Ne Hood Ave

Gresham, OR 970307328

Telephone 9714044688
Fax 9712732708

Authorized Official Information

Authorized Contact Name

Frances Clark , MA, LPC

Title / Role

Owner

Official Telephone

5034441190

Facility Classifications & Specialties

Counselor - Professional Primary Taxonomy

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

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.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

12 Linked
Nichole Albelo NPI 1164109526

Counselor - Mental Health

Gresham, OR

View Practitioner Profile →

Counselor - Mental Health

Gresham, OR

View Practitioner Profile →
Wylie Bay , MSW NPI 1306329016

Counselor - Mental Health

Gresham, OR

View Practitioner Profile →

Speech-Language Pathologist

Gresham, OR

View Practitioner Profile →

Occupational Therapist - Pediatrics

Gresham, OR

View Practitioner Profile →
Ashley Schwindt NPI 1497686463

Counselor - Professional

Gresham, OR

View Practitioner Profile →

Secondary Facility Locations

Verified branch offices, satellite clinics, and regional practice locations

1 Branches

532 N Main Ave

Gresham, OR 970307244

Phone: 9714044668

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2026

Counselor

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Updated Practice Location April 04, 2026

Registered at 649 NE HOOD AVE, GRESHAM, OR 970307328 (Tel: 9714044688)

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Updated Business Mailing Address April 04, 2026

Registered at PO BOX 1245, SANDY, OR 970551245 (Tel: 9714044668)

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2026

Social Worker

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2024

Counselor

NPI Profile Active November 08, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location November 08, 2022

Registered at 1201 SE 223RD AVE STE 165, GRESHAM, OR 970302577 (Tel: 9714044668)

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Updated Business Mailing Address November 08, 2022

Registered at 1201 SE 223RD AVE STE 165, GRESHAM, OR 970302577 (Tel: 9714044668)

🏛️
Organization / Clinic Name Updated November 08, 2022

Operating as CONNECTED SPACE COUNSELING, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2022

Clinic/Center

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Initial NPI Registration & Enumeration November 08, 2022

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1194433250
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: November 08, 2022
Last Update: June 12, 2026

Mailing Address

Po Box 1245

Sandy, OR 970551245

Phone: 9714044668

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.