Organization Active NPI

Samaritan Counseling Center, Inc

  • Counselor
  • Portland, OR
National Provider Identifier
1235164559
Registry record updated Oct 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
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

Updated by the provider on Oct 10, 2008

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)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
048465000OtherORBCBS
271177MedicaidOR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.