Sprout Therapy Pdx LLC
NPI 1093346777ActiveOrganization· Counselor· Portland, OR
Counselor in Portland, Oregon, registered in NPPES in January 2020. The authorized official on file is Emelie Angelina Douglas, LPC, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093346777 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 30, 2020 |
| Last updated in NPPES | Mar 12, 2026 |
| Certified by provider | Mar 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
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