Individual provider Active NPI

Sara Sery, M.A.

  • Counselor
  • Sherwood, OR
National Provider Identifier
1336579390
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2861 Issued in OR
Practice address
16115 SW 1St St Ste 202
Sherwood, OR 97140-9259
Phone
(503) 610-8656
NPI assigned
Nov 12, 2013
Last updated
Nov 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2861 OR Primary

Addresses

Primary practice location

16115 SW 1St St Ste 202
Sherwood, OR 97140-9259

Mailing address

16115 SW 1St St Ste 202
Sherwood, OR 97140-9259
Phone (503) 610-8656

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2861ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384214400000",
    "number": "1336579390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16115 SW 1ST ST STE 202",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409259",
            "telephone_number": "503-610-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16115 SW 1ST ST STE 202",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409259",
            "telephone_number": "503-610-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERY",
        "first_name": "SARA",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "2861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.