Active NPI
Sarah Probst, M.A., LPCI
- Mental Health Counselor
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C4343
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| R3797 | OR | MD | Counselor |
| C4343 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pneuma Counseling, LLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.