Active NPI
Samaritan Counseling Center, Inc
- Counselor
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- SAMARITAN COUNSELING CENTER, INC
- Practice address
- 1205 NE Broadway St.
Portland, OR 97232 - Phone
- (503) 281-3318
- Fax
- (503) 281-0937
- NPI assigned
- Jul 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael E Sorensen, MPA
- Title
- Exec Director
- Phone
- (503) 281-3318
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1205 NE Broadway St.
Portland, OR 97232
Mailing address
1205 NE Broadway St
Portland, OR 97232-1233
Phone (503) 281-3318
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 048465000 | Other | OR | BCBS |
| 271177 | Medicaid | OR |
National Provider Directory
National Provider DirectoryLocations
4040 Sunset Dr
Lake Oswego, OR 97035
Phone (503) 281-3318
2036 SE Jefferson St
Milwaukie, OR 97222
Phone (503) 281-3318
1838 SW Jefferson St
Portland, OR 97201
Phone (503) 245-2929
1817 NE 17th Ave
Portland, OR 97212
Phone (503) 281-3318
1200 SW Alder St
Portland, OR 97205
Phone (503) 281-3318
8060 SW Brentwood St
Portland, OR 97225
Phone (503) 281-3318
1205 NE Broadway St
Portland, OR 97232
Phone 5032813318 ext. 152
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Portland, OR
- NPI 1942235262
-
- Clinical Social Worker
- Portland, OR
- NPI 1285798637
-
- Psychologist
- Portland, OR
- NPI 1043362163
-
- Psychologist
- Portland, OR
- NPI 1215901186
-
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
- NPI 1629160536
-
- Mental Health Counselor
- Lake Oswego, OR
- NPI 1548284565
-
- Clinical Social Worker
- Portland, OR
- NPI 1326190570
-
- Clinical Social Worker
- Portland, OR
- NPI 1538226303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223596800000",
"number": "1235164559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 NE BROADWAY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321233",
"telephone_number": "503-281-3318",
"fax_number": "503-281-0937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 NE BROADWAY ST.",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97232",
"telephone_number": "503-281-3318",
"fax_number": "503-281-0937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMARITAN COUNSELING CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-12",
"last_updated": "2008-10-10",
"status": "A",
"authorized_official_last_name": "SORENSEN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "EXEC DIRECTOR",
"authorized_official_telephone_number": "503-281-3318",
"authorized_official_credential": "MPA"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "048465000",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271177",
"state": "OR"
}
],
"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 Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.