Active NPI
Colleen Mathew
- Professional Counselor
- Beaverton, OR
National Provider Identifier
1164083671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C7748
- Practice address
- 4135 SW Spratt Way Apt 112
Beaverton, OR 97078-2489 - Phone
- (503) 238-0769
- NPI assigned
- Jun 25, 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MHC.LH.61350848 | WA | |
| Professional Counselor | 101YP2500X | C7748 | OR | Primary |
Addresses
Primary practice location
4135 SW Spratt Way Apt 112
Beaverton, OR 97078-2489
Mailing address
4135 SW Spratt Way Apt 112
Beaverton, OR 97078-2489
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Colleen Sara LLC | Mental Health | Current | Accepting new patients |
Locations
5228 NE Hoyt St
Bldg B
Portland, OR 97213
Phone (503) 215-4860
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- Mental Health Counselor
- Portland, OR
- NPI 1568132496
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1164083671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4135 SW SPRATT WAY APT 112",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970782489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4135 SW SPRATT WAY APT 112",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970782489",
"telephone_number": "503-238-0769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "COLLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-25",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MHC.LH.61350848",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C7748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.