Kurt Woodruff Sproul, PCA, APCC, ACMHC - Counselor in Portland, OR

Kurt Woodruff Sproul, PCA, APCC, ACMHC is a Counselor - Mental Health based in Portland, Oregon. Kurt Woodruff Sproul is licensed to practice in Oregon (license number R10553) and his current practice location is Mindful Therapy Group, 5440 Sw Westgate Dr, Suite 350, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at (425) 678-6463.

NPI number for Kurt Woodruff Sproul is 1689174757 and his current mailing address is 2355 State St Ste 101, Salem, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689174757.

Contact Information

Kurt Woodruff Sproul, PCA, APCC, ACMHC
Mindful Therapy Group, 5440 Sw Westgate Dr, Suite 350,
Portland, OR 97239
(425) 678-6463
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameKurt Woodruff Sproul
GenderMale
SpecialityCounselor - Mental Health
LocationMindful Therapy Group, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689174757
  • Provider Enumeration Date: 02/15/2018
  • Last Update Date: 01/07/2025

Medical Identifiers

Medical identifiers for Kurt Woodruff Sproul such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689174757NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (California)Secondary
101YM0800XCounselor - Mental Health 13147561-6009 (Utah)Secondary
101YM0800XCounselor - Mental Health 13095 (California)Secondary
101YM0800XCounselor - Mental Health R10553 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kurt Woodruff Sproul is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kurt Woodruff Sproul, PCA, APCC, ACMHC
2355 State St Ste 101,
Salem, OR 97301-4541

Ph: (323) 636-6135
Kurt Woodruff Sproul, PCA, APCC, ACMHC
Mindful Therapy Group, 5440 Sw Westgate Dr, Suite 350,
Portland, OR 97239

Ph: (425) 678-6463

Reviews and Comments


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