OrganizationActive
Rising Moon Therapy Center LLC
NPI 1871211151 · Mental Health Clinic/Center (Including Community Mental Health Center) · Portland, OR
Provider details
- NPI number
- 1871211151
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alicia Simone, Owner/Lmft(503) 512-0958
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
4301 Sw Dosch Rd
Portland, OR 97239-1378
Phone: (503) 512-0958
Street-level locationGet directions
Mailing address
6312 Sw Capitol Hwy # 245
Portland, OR 97239-1938
Registry dates
- Enumerated
- 2022-08-22
- Last updated
- 2022-08-22
- Certified
- 2022-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.