| Recovered Roots Counseling Llc | |
|
4510 Se Holgate Blvd Portland OR 97206-4020 | |
| (503) 451-5148 | |
| (503) 883-8208 |
| Full Name | Recovered Roots Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4510 Se Holgate Blvd, Portland, Oregon |
| Authorized Official Name and Position | Jonathan Willden (CEO) |
| Authorized Official Contact | 5034515148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovered Roots Counseling Llc 2850 Sw Cedar Hills Blvd # 2064 Beaverton OR 97005-1354 Ph: () - | Recovered Roots Counseling Llc 4510 Se Holgate Blvd Portland OR 97206-4020 Ph: (503) 451-5148 |
| NPI Number | 1679398333 |
|---|---|
| Provider Enumeration Date | 11/18/2024 |
| Last Update Date | 10/07/2025 |
| Certification Date | 10/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679398333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Sandra M. Gonzalez Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Sw Morrison St, Suite 411, Portland, OR 97205 Phone: 503-228-0939 Fax: 503-226-8069 | |
Cascadia Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9125 Sw 55th Ave, Portland, OR 97219 Phone: 503-238-0769 Fax: 503-477-4598 | |
Edwards Psychotherapy, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Sw Morrison St, Suite 1100, Portland, OR 97205 Phone: 503-222-0557 | |
Wellpath Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 Se Milwaukie Ave Ste D, Portland, OR 97202 Phone: 503-784-2377 | |
Daniel C Donohue, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2931 Ne Broadway St, Portland, OR 97232 Phone: 503-819-2515 | |
Cultivating A New Life Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Se Spokane St Ste 300, Portland, OR 97202 Phone: 541-904-0468 | |
Tiffany Kettermann, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2950 Se Stark St Ste 130, Portland, OR 97214 Phone: 971-270-0167 |