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

Celeste Angelita Prose, BA

Individual provider Behavior Analyst · NPI 1649611187

Celeste Angelita Prose, BA is a Clinical Social Worker in Portland, Oregon. Qualified in 2018, 8 years ago. Practices with Mindful Therapy Group PC, a 646-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
8
Licensed in
OR
In the registry since
2013
Specialties on file
2
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

5050 NE Hoyt St Ste B55
Portland, OR 97213-2957
Phone: (503) 233-5393
Fax: (503) 659-8984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L10408 (OR)
Behavior Analyst Taxonomy 103K00000X

Record details

NPI number1649611187
Entity typeIndividual (Type 1)
GenderFemale
Credentials BA
Sole proprietorNo
NPI enumeratedJuly 12, 2013
Last updated in NPPESApril 7, 2022
Certification dateApril 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mindful Therapy Group Pc — 646 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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