Active NPI
Sara Alayne Pitkanen, M.ED. MFT QMHP
- Marriage & Family Therapist
- Hillsboro, OR
National Provider Identifier
1043470669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 535 SE Washington St
Hillsboro, OR 97123-4142 - Phone
- (503) 998-9546
- Fax
- (888) 503-2864
- NPI assigned
- Jun 17, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | Primary | ||
| Marriage & Family Therapist | 106H00000X | T0843 | OR | |
| Marriage & Family Therapist | 106H00000X | 0843 | OR |
Addresses
Primary practice location
535 SE Washington St
Hillsboro, OR 97123-4142
Mailing address
535 SE Washington St
Hillsboro, OR 97123-4142
Phone (503) 998-9546
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019047 | Medicaid | OR | |
| 500676403 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0843 | OR | MD | Marriage & Family Therapist |
| T0843 | OR | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428537600000",
"number": "1043470669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 SE WASHINGTON ST",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234142",
"telephone_number": "503-998-9546",
"fax_number": "888-503-2864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 SE WASHINGTON ST",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234142",
"telephone_number": "503-998-9546",
"fax_number": "888-503-2864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITKANEN",
"first_name": "SARA",
"middle_name": "ALAYNE",
"name_prefix": "Ms.",
"credential": "M.ED. MFT QMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-17",
"last_updated": "2015-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T0843",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "0843",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019047",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500676403",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.