A Little Light Collective, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Portland, Oregon
1124851167- Practice location
- 4605 NE Fremont St Ste 210F, Portland, OR 97213-1707
- Phone
- 503-994-6702
- Fax
- —
- Last updated
- June 3, 2025
A Little Light Collective, LLC is a healthcare organization based in Portland, OR. The NPI number for A Little Light Collective, LLC is 1124851167. The current practice location address is 4605 NE Fremont St Ste 210F, Portland, OR 97213-1707 and the office can be reached by phone at 503-994-6702. The NPI was assigned on August 23, 2024 and the record was last updated in NPPES on June 3, 2025.
●Provider Profile Details
- NPI Number
- 1124851167
- Provider Name
- A Little Light Collective, LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Jordan Mae Dobrovolny, LCSW · Member · 503-994-6702
- Enumeration Date
- August 23, 2024
- Last Update Date
- June 3, 2025
- Certification Date
- June 3, 2025
- NPI Status
- Active
- Other Names
- Jordan Dobrovolny LCSW (Other Name)
◉Business Practice Location Address
- Address
- 4605 NE Fremont St Ste 210F
Portland, OR 97213-1707 - City
- Portland
- State
- Oregon
- ZIP
- 97213-1707
- Country
- US
- Phone Number
- 503-994-6702
✉Business Mailing Address
- Address
- 1717 NE 42ND Ave Ste 3200
Portland, OR 97213-1572 - City
- Portland
- State
- OR
- ZIP
- 97213-1572
- Phone Number
- 503-994-6702
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Social Worker, Clinical 193200000X - Multi-Specialty Group | 1041C0700X | No | — | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Portland →?Frequently Asked Questions
What is the NPI number of A Little Light Collective, LLC?
The NPI number of A Little Light Collective, LLC is 1124851167. It was assigned on August 23, 2024 and is currently active in the NPPES registry.
What is the specialty of A Little Light Collective, LLC?
A Little Light Collective, LLC is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X).
Where does A Little Light Collective, LLC practice?
The practice location is 4605 NE Fremont St Ste 210F, Portland, OR 97213-1707. The office can be reached at 503-994-6702 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124851167 directly on the NPPES registry website at npiregistry.cms.hhs.gov.