OrganizationActive
Imagine Life Counseling and Consultation, LLC.
NPI 1407306913 · Clinical Social Worker · Portland, OR
Provider details
- NPI number
- 1407306913
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Deah Partak, Owner / Therapist(503) 701-2294
- License
- 11-06-94 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
2325 E Burnside St
Suite 202
Portland, OR 97214-1655
Phone: (503) 701-2294
Street-level locationGet directions
Mailing address
2325 E Burnside St
Portland, OR 97214-1655
Registry dates
- Enumerated
- 2016-10-07
- Last updated
- 2016-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.