Provider Demographics
NPI:1114633351
Name:NEW PATTERN COUNSELING LLC
Entity Type:Organization
Organization Name:NEW PATTERN COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ARTHUR RHYS
Authorized Official - Last Name:PASIMIO
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, CADC II
Authorized Official - Phone:503-250-1401
Mailing Address - Street 1:530 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:OR
Mailing Address - Zip Code:97024-1907
Mailing Address - Country:US
Mailing Address - Phone:503-250-1401
Mailing Address - Fax:
Practice Address - Street 1:1584 NE 8TH ST STE 200
Practice Address - Street 2:
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97030-5746
Practice Address - Country:US
Practice Address - Phone:503-250-1401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR1265735088OtherNPI