Courageous Roots Institute
NPI 1992443402ActiveOrganization· Psychologist, Clinical· Portland, OR
Psychologist, Clinical in Portland, Oregon, registered in NPPES in May 2022. The authorized official on file is Andrea Millen, PSYD, Clinical Psychologist.
Overview
| NPI | 1992443402 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 24, 2022 |
| Last updated in NPPES | Jun 20, 2022 |
| Certified by provider | Jun 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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