OrganizationActive
Evolving Self Integral Counseling, LLC
NPI 1144901513 · Adult Mental Health Clinic/Center · Portland, OR
Provider details
- NPI number
- 1144901513
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Palma Azucena Corral Sotelo, Professional Counseling Associate(503) 310-6276
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
2232 Nw Everett St Apt 21
Portland, OR 97210-5516
Phone: (503) 310-6276
Street-level locationGet directions
Mailing address
2232 Nw Everett St Apt 21
Portland, OR 97210-5516
Other names (DBA / former)
- Doing business as
- Evolving Self Integral Counseling
Registry dates
- Enumerated
- 2023-07-28
- Last updated
- 2023-07-28
- Certified
- 2023-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.