Active NPI
Dean P Sanchez II, PCA
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1093298366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- R9717
- Practice address
- 5441 S Macadam Ave Ste a
Portland, OR 97239-3822 - Phone
- (503) 250-0799
- NPI assigned
- Sep 12, 2018
- Reactivated
- Jul 19, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | R9717 | OR | Primary |
Addresses
Primary practice location
5441 S Macadam Ave Ste a
Portland, OR 97239-3822
Mailing address
1645 Renaissance Commons Blvd Apt 309
Boynton Beach, FL 33426-8263
Phone (503) 250-0799
Other practice location 1
1645 Renaissance Commons Blvd
#309
Boynton Beach, FL 33426-8263
Phone (303) 550-2376
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | AdvancedMD | Health Information Exchange (HIE) | MINDFUL THERAPY GROUP PC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9717 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1093298366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1645 RENAISSANCE COMMONS BLVD APT 309",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334268263",
"telephone_number": "503-250-0799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5441 S MACADAM AVE STE A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393822",
"telephone_number": "503-250-0799"
}
],
"practiceLocations": [
{
"address_1": "1645 Renaissance Commons Blvd",
"address_2": "#309",
"address_purpose": "LOCATION",
"city": "Boynton Beach",
"state": "FL",
"postal_code": "334268263",
"country_code": "US",
"telephone_number": "303-550-2376",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANCHEZ",
"first_name": "DEAN",
"middle_name": "P",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "PCA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-12",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"deactivation_date": "2019-06-04",
"reactivation_date": "2019-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "R9717",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "AdvancedMD",
"affiliation": "Y",
"endpointDescription": "Electronic Health Records and Practice Management",
"affiliationName": "MINDFUL THERAPY GROUP PC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6505 216th St SW Ste 100",
"city": "Mountlake Terrace",
"state": "WA",
"country_code": "US",
"postal_code": "980432089",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.