NPIMap

Organization Active NPI

Sanctuary of Our Sorrowful Mother

Doing business as The Grotto Counseling Center

  • Counselor
  • Portland, OR
National Provider Identifier
1255514782
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
SANCTUARY OF OUR SORROWFUL MOTHER
Doing business as
The Grotto Counseling Center
Practice address
8840 NE Skidmore Street
Portland, OR 97220
Phone
(503) 261-2425
NPI assigned
Dec 6, 2007
Last updated
Dec 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Valeria Lewandoski, LCSWNPI 1609059138
Title
Director
Phone
(503) 261-2430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

8840 NE Skidmore Street
Portland, OR 97220

Mailing address

PO Box 20008
Portland, OR 97294
Phone (503) 261-2425

Other names 1

  • The Grotto Counseling Center Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1255514782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20008",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97294",
            "telephone_number": "503-261-2425",
            "fax_number": "503-254-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8840 NE SKIDMORE STREET",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97220",
            "telephone_number": "503-261-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUARY OF OUR SORROWFUL MOTHER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "LEWANDOSKI",
        "authorized_official_first_name": "VALERIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-261-2430",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Grotto Counseling Center",
            "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 Dec 6, 2007; 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.