Individual provider Active NPI

Sarah Rose Bord, LPC, CADC I

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1134701667
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C6365 Issued in OR
Practice address
10107 SE Tibbetts CT
Portland, OR 97266-1277
Phone
(832) 567-8241
NPI assigned
Apr 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X R5613 OR
Mental Health Counselor 101YM0800X C6365 OR Primary

Addresses

Primary practice location

10107 SE Tibbetts CT
Portland, OR 97266-1277

Mailing address

16409 SE Division St.
Ste 216 PMB 1024
Portland, OR 97236
Phone (971) 253-0676

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260218000123 OR Practitioner - Mental Health Counselor 3375077423 Practice locations: Portland, OR

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10107 SE Tibbetts CT
Portland, OR 97266-1277
Phone (971) 253-0676

PO Box
Suite 9
Tillamook, OR 97141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C6365ORMDMental Health Counselor
R5613ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Naturalistic Counseling, LLC Mental Health CurrentSince Aug 25, 2025 Accepting new patients
Sarah Bord Counseling PastSince May 16, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1134701667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16409 SE DIVISION ST.",
            "address_2": "STE 216 PMB 1024",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97236",
            "telephone_number": "971-253-0676",
            "fax_number": "855-978-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10107 SE TIBBETTS CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661277",
            "telephone_number": "832-567-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORD",
        "first_name": "SARAH",
        "middle_name": "ROSE",
        "credential": "LPC, CADC I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-23",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R5613",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C6365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.