RESTORING BALANCE LLC (NPI# 1003441536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003441536 |
| Entity Type | Organization |
| Organization Name | RESTORING BALANCE LLC |
| Other Organization Name | RESTORING BALANCE |
| Practice Address |
12725 Sw Millikan Way Ste 300 Beaverton OR 97005-1687 |
| Mailing Address |
605 Nw 118th Ave Unit 106 Portland OR 97229-6670 |
| Practice Telephone | 5037499076 |
| Mailing Telephone | 5038169211 |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-08-24 |
| Authorized Official Name | MACKENSIE MARIE KEINER (PSYCHOTHERAPIST) |
| Authorized Official Telephone | 5037135040 |
| Authorized Official Credential | MSW, CSWA, QMHP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Restoring Balance | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134421 | Restoring Balance LLC | Social Worker | 1064 S Main St Bldg 1e, West Creek, NJ 08092-2913 | 2019-09-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | RESTORING BALANCE LLC | 12725 Sw Millikan Way, Suite 300, Beaverton, OR 97005 |
| Street Address |
12725 SW MILLIKAN WAY STE 300 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-1687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629435441 | Hearts Made Whole Counseling, LLC | Counselor | 12725 Sw Millikan Way Ste 300, Beaverton, OR 97005-1687 | 2016-01-25 |
| 1588135180 | Paradigm Professional Health Services, Inc. | Public Health or Welfare | 12725 Sw Millikan Way Ste 300, Beaverton, OR 97005-1687 | 2018-12-09 |
| 1376014027 | Mariahm Stephenson | Health Educator | 12725 Sw Millikan Way Ste 300, Beaverton, OR 97005-1687 | 2018-12-06 |
| 1497274641 | Mackensie Marie Keiner | Counselor | 12725 Sw Millikan Way Ste 300, Beaverton, OR 97005-1687 | 2017-09-19 |
| 1205280286 | Serenity Home Care LLC | In Home Supportive Care | 12725 Sw Millikan Way Ste 300, Beaverton, OR 97005-1687 | 2016-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740528900 | Community Mental Health for Central Michigan | Clinic/Center | 439 S Ross St, Beaverton, MI 48612-9101 | 2013-01-23 |
| 1235442203 | Liana Hategan Md PC | Clinic/Center | 3370 Sw 192nd Ave, Beaverton, OR 97003-2346 | 2010-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226625 | Centered Therapy LLC | Clinic/Center | 300 Se Reed Market Rd Ste 260, Bend, OR 97702-3816 | 2020-08-17 |
| 1124637236 | Inner Light Counseling & Bodywork LLC | Clinic/Center | 2520 Chaucer Ct, Eugene, OR 97405-1217 | 2020-07-24 |
| 1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
| 1912521998 | The Practice of Jeffery Wise Therapeutics Pmhnp-bc | Clinic/Center | 2651 Nw Thurman St Apt 303, Portland, OR 97210-2327 | 2020-06-04 |
| 1326661448 | Kgk Therapeutic Services | Clinic/Center | 1138 Jefferson St, Eugene, OR 97402-5246 | 2020-05-22 |
| 1831723642 | Wild River Counseling and Consultation, LLC | Clinic/Center | 107 E Main St Ste 7, Medford, OR 97501-6022 | 2020-03-02 |
| 1356973010 | Holistic Healing Behavioral Healthcare | Clinic/Center | 5257 Ne Martin Luther King Blvd Ste 201, Portland, OR 97211-3283 | 2020-02-10 |
| 1336786730 | Sarah Kaufman Counseling | Clinic/Center | 492 E 13th Ave Ste 210, Eugene, OR 97401-4268 | 2019-12-04 |
| 1942845805 | I. Keith Orton, Phd | Clinic/Center | 745 Nw Mt Washington Dr Ste 301, Bend, OR 97703-1576 | 2019-11-14 |
| 1407408305 | Adaptability for Life LLC | Clinic/Center | 309 N 1st St, Silverton, OR 97381-1605 | 2019-07-10 |
| Find all providers with the same taxonomy | ||||
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| 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.