Eternal Blossom Counseling LLC
NPI 1104389170 · Clinical Social Worker · Portland, OR
Eternal Blossom Counseling LLC is a Clinical Social Worker organization in Portland, OR (NPI 1104389170).
Provider details
- NPI number
- 1104389170
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Aiyana Lucas, Licensed Clinical Social Worker(971) 361-6747
Specialties & taxonomies
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
7 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
- 2019-04-08
- Last updated
- 2019-04-08
Frequently asked questions
- What is Eternal Blossom Counseling LLC's NPI number?
- Eternal Blossom Counseling LLC's National Provider Identifier (NPI) is 1104389170, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eternal Blossom Counseling LLC?
- Eternal Blossom Counseling LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Eternal Blossom Counseling LLC located?
- Eternal Blossom Counseling LLC's practice location on file with NPPES is 4531 Se Belmont St Ste 310, Portland, OR 97215-1675.
- What is Eternal Blossom Counseling LLC's phone number?
- The practice phone number listed in the NPPES registry for Eternal Blossom Counseling LLC is (503) 810-1170.
- Who is the authorized official for Eternal Blossom Counseling LLC?
- The authorized official listed on Eternal Blossom Counseling LLC's NPPES record is Aiyana Lucas, Licensed Clinical Social Worker. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eternal Blossom Counseling LLC's NPI active?
- Yes — Eternal Blossom Counseling LLC's NPI (1104389170) is active in the NPPES registry as of the last update on 2019-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.