Sarah Von Colditz, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6292 Issued in OR

Practice address

10 Pier 1
Ste 204
Astoria, OR 97103-6328

Phone

(503) 789-6850

Fax

(888) 971-4017

NPI assigned

Dec 20, 2014

Last updated

Dec 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in OR

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

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Shoreline Counseling LLCGroup PAC ID 4587985049, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Shoreline Counseling LLC

  • Clinical Social Worker
  • Astoria, OR
  • NPI 1437548807
  Medicare reassignment Care Compare group NPD Authorized official
• Coastal Intensive Services

  • Addiction (Substance Use Disorder) Counselor
  • Portland, OR
  • NPI 1689412850

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1419033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1104224393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PIER 1",
            "address_2": "STE 204",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971036328",
            "telephone_number": "503-789-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PIER 1",
            "address_2": "STE 204",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971036328",
            "telephone_number": "503-789-6850",
            "fax_number": "888-971-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON COLDITZ",
        "first_name": "SARAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-20",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "6292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shana Lorraine Verley
• Brittany Dawn Vigoren, R.D.H
• Vince Morrison MSW, PC
• Virtue at the Pointe Recovery Center LLC
• Paul Voeller, M.D.
• Cameron Kay Wagner, L.M.T
• Brook Paulette Waits, PSS CERTIFICATION
• Stacie Lee Walker, RN, APRN, IBCLC
• Kendra Lynne Ward, OTA
• Watershed Community Wellness LLC (Watershed Wellness)

• Mental Health Counselor in Astoria, OR
• Providers in Astoria, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.

Verify at the official NPI Registry.