Individual provider Active NPI

Sarah Probst, M.A., LPCI

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1033587241
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C4343 Issued in OR
Practice address
4036 NE Sandy Blvd
Suite 203
Portland, OR 97212-5335
Phone
(503) 619-6994
NPI assigned
Sep 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X R3797 OR
Mental Health Counselor 101YM0800X C4343 OR Primary

Addresses

Primary practice location

4036 NE Sandy Blvd
Suite 203
Portland, OR 97212-5335

Mailing address

10225 NE Holladay St
Portland, OR 97220-3920
Phone (503) 619-6994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240425003285 LA Practitioner - Mental Health Counselor 8325488265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

102 Fontainbleau Dr
Suite D2
Mandeville, LA 70471-6519
Phone (985) 200-8988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
R3797ORMDCounselor
C4343ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pneuma Counseling, LLC CurrentSince Mar 2, 2024 Accepting new patients

Locations

69164 Highway 59
Ste 4
Mandeville, LA 70471
Phone (949) 324-2020

102 Fontainbleau Dr
Ste D2
Mandeville, LA 70471
Phone (985) 200-8898

4036 NE Sandy Blvd
Ste 203
Portland, OR 97212
Phone (503) 500-5900

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1033587241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 NE HOLLADAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203920",
            "telephone_number": "503-619-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4036 NE SANDY BLVD",
            "address_2": "SUITE 203",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125335",
            "telephone_number": "503-619-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROBST",
        "first_name": "SARAH",
        "credential": "M.A., LPCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "R3797",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.