OrganizationActive
Integrative Trauma Treatment Center
NPI 1295190247 · Clinical Social Worker · Portland, OR
Provider details
- NPI number
- 1295190247
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Athena Phillips, Owner(971) 266-6910
- License
- L4462 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
811 Nw 19th Ave Ste 102
Portland, OR 97209-1401
Phone: (971) 266-6910
Fax: (888) 972-3623
Street-level locationGet directions
Mailing address
811 Nw 19th Ave Ste 102
Portland, OR 97209-1401
Other names (DBA / former)
- Doing business as
- Vancouver Integrative Counseling
Registry dates
- Enumerated
- 2015-12-17
- Last updated
- 2015-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.