Rebel Heart Therapy LLC
NPI 1073146197 · Mental Health Clinic/Center (Including Community Mental Health Center) · Portland, OR
Rebel Heart Therapy LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Portland, OR (NPI 1073146197).
Provider details
- NPI number
- 1073146197
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Morgan Fitz Gibbon, Founder(971) 350-1122
Specialties & taxonomies
Ambulatory Health Care Facilities
Student, Health Care
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-02-17
- Last updated
- 2022-02-10
- Certified
- 2022-02-10
Frequently asked questions
- What is Rebel Heart Therapy LLC's NPI number?
- Rebel Heart Therapy LLC's National Provider Identifier (NPI) is 1073146197, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rebel Heart Therapy LLC?
- Rebel Heart Therapy LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Rebel Heart Therapy LLC located?
- Rebel Heart Therapy LLC's practice location on file with NPPES is 11 Ne Mlk Blvd Ste 203, Portland, OR 97232-3579.
- What is Rebel Heart Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Rebel Heart Therapy LLC is (971) 350-1122.
- Who is the authorized official for Rebel Heart Therapy LLC?
- The authorized official listed on Rebel Heart Therapy LLC's NPPES record is Morgan Fitz Gibbon, Founder. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rebel Heart Therapy LLC's NPI active?
- Yes — Rebel Heart Therapy LLC's NPI (1073146197) is active in the NPPES registry as of the last update on 2022-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.