Sara Emily Henricks

Primary specialty

CounselorTaxonomy code 101Y00000X

License

R8066 Issued in OR

Practice address

1586 W Thornton Lake Dr NW
Albany, OR 97321-1360

Phone

(503) 734-7404

NPI assigned

Jul 10, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1083392039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1586 W THORNTON LAKE DR NW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211360",
            "telephone_number": "503-734-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1586 W THORNTON LAKE DR NW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211360",
            "telephone_number": "503-734-7404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54 N Butternut Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397053101",
            "country_code": "US",
            "telephone_number": "503-734-7404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRICKS",
        "first_name": "SARA",
        "middle_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "R8066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael David Herman, PSYD
• Jessica Hernandez, CHW
• Samuel Marcos Hernandez

• Counselor in Albany, OR
• Providers in Albany, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.