Mindpeace Mental Health LLC
Nurse Practitioner, Psych/Mental Health in Portland, OR. Organization (NPI-2).
Details
- NPI
- 1972398089
- Entity type
- Organization (NPI-2)
- Legal business name
- Mindpeace Mental Health LLC
- Organization subpart
- No
- Enumeration date
- Apr 10, 2025
- Certification date
- Apr 29, 2026
- Last updated
- Apr 29, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 106H00000X | Marriage & Family Therapist | – | – | |
| 101YP2500X | Counselor, Professional | – | – |
Practice location
4531 Se Belmont St Ste 114Portland, OR 97215-1675
Phone 971-365-3621 · Fax 949-703-7718
Mailing address
4531 Se Belmont St Ste 114Portland, OR 97215-1675
Phone 971-365-3621 · Fax 971-703-7718
Authorized official
Christine H Haboush
Owner And Clinician
9713653621
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