Active NPI
Sangsuree Wellness
- Professional Counselor
- Portland, OR
National Provider Identifier
1235790304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- SANGSUREE WELLNESS
- Practice address
- 5510 N Commercial Ave
Portland, OR 97217-2340 - Phone
- (503) 332-7003
- NPI assigned
- Jun 27, 2019
- 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
- Michaela Davis
- Title
- Office Manager
- Phone
- (503) 901-9508
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
5510 N Commercial Ave
Portland, OR 97217-2340
Mailing address
4207 SE Woodstock Blvd
PO Box 298
Portland, OR 97206-6267
Phone (503) 332-7003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500718615 | Medicaid | OR |
Other names 1
- Keely C Helmick
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Portland, OR
- NPI 1306166939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1561593600000",
"number": "1235790304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4207 SE WOODSTOCK BLVD",
"address_2": "PO BOX 298",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972066267",
"telephone_number": "503-332-7003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5510 N COMMERCIAL AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972172340",
"telephone_number": "503-332-7003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANGSUREE WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-27",
"last_updated": "2019-06-27",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "MICHAELA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "503-901-9508"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500718615",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Keely C Helmick",
"code": "3",
"type": "Doing Business As"
}
]
}
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 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.