Rebel Heart Therapy LLC
NPI 1073146197 · Mental Health Clinic/Center (Including Community Mental Health Center) · Portland, OR
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.