Active NPI
Sara Serrano, QMHA
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1124680293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 200 SE 7TH Ave
Portland, OR 97214-1200 - Phone
- (503) 235-0131
- NPI assigned
- Jun 28, 2019
- 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 |
|---|---|---|---|---|
| Health Information Technician | 247000000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
200 SE 7TH Ave
Portland, OR 97214-1200
Mailing address
200 SE 7TH Ave
Portland, OR 97214-1200
Phone (503) 235-0131
Other practice location 1
320 SW Ramsey Ave
Grants Pass, OR 97527-5529
Phone (541) 476-2373
Other practice location 2
3397 Delta Waters Rd
Medford, OR 97504-5852
Phone (541) 772-1777
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Volunteers of America Inc. | Past | Accepting new patients |
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.
-
- Contractor
- Portland, OR
- NPI 1376611418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1124680293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SE 7TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141200",
"telephone_number": "503-235-0131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SE 7TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141200",
"telephone_number": "503-235-0131"
}
],
"practiceLocations": [
{
"address_1": "320 SW Ramsey Ave",
"address_purpose": "LOCATION",
"city": "Grants Pass",
"state": "OR",
"postal_code": "975275529",
"country_code": "US",
"telephone_number": "541-476-2373",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3397 Delta Waters Rd",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "OR",
"postal_code": "975045852",
"country_code": "US",
"telephone_number": "541-772-1777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SERRANO",
"first_name": "SARA",
"credential": "QMHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-28",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "247000000X",
"taxonomy_group": "",
"desc": "Technician, Health Information",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"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 Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.