OrganizationActive
Holistic Healing Behavioral Healthcare
NPI 1356973010 · Mental Health Clinic/Center (Including Community Mental Health Center) · Portland, OR
Provider details
- NPI number
- 1356973010
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jamaica Imani-Nelson, Ceo(503) 933-0491
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
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
5257 Ne Martin Luther King Blvd Ste 201
Portland, OR 97211-3283
Phone: (503) 933-0491
Street-level locationGet directions
Mailing address
6941 N Roberts Ave
Portland, OR 97203-6361
Registry dates
- Enumerated
- 2020-02-10
- Last updated
- 2020-02-10
- Certified
- 2020-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.