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Deactivated NPI 1710347158 Deactivated / Inactive NPI

Gresham Counseling And Therapy Llc

Counselor • Gresham, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Gresham Counseling And Therapy Llc has officially deactivated this NPI record and ceased active healthcare operations.

Registration / Start Date February 27, 2016
NPI Deactivation Date November 14, 2023
Total Practice Duration ~7 Years of Practice (2016 – 2023)

About Gresham Counseling And Therapy Llc NPI 1710347158 Summary

Gresham Counseling And Therapy Llc was a registered healthcare organization specializing in Counselor located in Gresham, OR. Operating from its primary practice location at 406 NE 4TH ST, the facility provided medical services under NPI record 1710347158 prior to official deactivation on November 14, 2023.

Administrative records indicate Kristen Beck as the registered authorized official.

The facility is associated with 2 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

406 Ne 4th St

Gresham, OR 970307429

Telephone 5037669083
Fax 5032060959

Authorized Official Information

Authorized Contact Name

Kristen Beck

Official Telephone

5037669083

Facility Classifications & Specialties

Counselor Primary Taxonomy

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Affiliated Practitioners & Clinicians

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

2 Linked

Counselor - Mental Health

Gresham, OR

View Practitioner Profile →

Psychologist - Counseling

Gresham, OR

View Practitioner Profile →

Facility & Registry History Timeline

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

10 Historical Events
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NPI Profile Deactivated November 14, 2023

Record deactivated on November 14, 2023

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Updated Practice Location May 08, 2023

Registered at 4527 SE 14TH ST, GRESHAM, OR 970806115 (Tel: 5037669083)

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Updated Practice Location December 12, 2022

Registered at 109 N MAIN AVE STE 208B, GRESHAM, OR 970307200 (Tel: 5037669083)

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Updated Practice Location January 13, 2022

Registered at 4316 SE 182ND AVE, GRESHAM, OR 970305058 (Tel: 5037669083)

NPI Profile Active February 27, 2016

NPI status registered as active in NPPES database

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Updated Practice Location February 27, 2016

Registered at 406 NE 4TH ST, GRESHAM, OR 970307429 (Tel: 5037669083)

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Updated Business Mailing Address February 27, 2016

Registered at PO BOX 865, GRESHAM, OR 970300197 (Tel: 5037669083)

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Organization / Clinic Name Updated February 27, 2016

Operating as GRESHAM COUNSELING AND THERAPY LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2016

Counselor (License #R4038 in OR)

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Initial NPI Registration & Enumeration February 27, 2016

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: 1710347158
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: February 27, 2016
Last Update: February 27, 2016
Deactivation Date: November 14, 2023

Mailing Address

Po Box 865

Gresham, OR 970300197

Phone: 5037669083

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.