Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diverge

Organization Mental Health Counselor · NPI 1053288431

Diverge is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3

Practice location Address checks out

555 SE Mlk Blvd
Portland, OR 97214-2526
Phone: (503) 780-9243
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Mental Health Counselor Taxonomy 101YM0800X
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1053288431
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Monika Weitzel — Founder/Co-Director · (503) 780-9243
NPI enumeratedOctober 21, 2025
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025
Mailing address2000 Ne 42nd Ave, Portland, OR 97213-1399

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