Sarka Beckett, QMHP-R, CADC-R

Individual provider Active NPI Mental Health Counselor · Portland, OR

NPI 1285448779 · NPPES record last updated Feb 4, 2025

Key facts

NPI
1285448779
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
1805 NE Sandy Blvd
Portland, OR 97232-2884
Phone
(971) 990-1068
NPI assigned
Feb 4, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X OR
Mental Health Counselor 101YM0800X OR Yes

Addresses

Primary practice location

1805 NE Sandy Blvd
Portland, OR 97232-2884

Mailing address

1805 NE Sandy Blvd
Portland, OR 97232-2884
Phone (971) 990-1068

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 4, 2025.

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1285448779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322884",
            "telephone_number": "971-990-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322884",
            "telephone_number": "971-990-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKETT",
        "first_name": "SARKA",
        "credential": "QMHP-R, CADC-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

All providers in Portland, OR · Mental Health Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.