Active NPI
Sonya Marie Newstrom, CADC I/QMHA-I
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1407211956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 24-QMHA-I-004717
- Practice address
- 1631 SW Columbia St
Portland, OR 97201-6025 - Phone
- (503) 231-2641
- Fax
- (503) 467-4077
- NPI assigned
- Dec 29, 2015
- Last updated
- Jul 9, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16-06-02 | OR | |
| Mental Health Counselor | 101YM0800X | 24-QMHA-I-004717 | OR | Primary |
Addresses
Primary practice location
1631 SW Columbia St
Portland, OR 97201-6025
Mailing address
211 SE Caruthers St
Portland, OR 97214-4502
Phone (503) 224-1044
Other practice location 1
1310 SW 17th Ave
Portland, OR 97201-2522
Phone (971) 261-0544
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500825267 | Medicaid | OR | |
| 500714294 | Medicaid | OR |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24-QMHA-I-004717 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752019200000",
"number": "1407211956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 SE CARUTHERS ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972144502",
"telephone_number": "503-224-1044",
"fax_number": "971-260-0355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 SW COLUMBIA ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972016025",
"telephone_number": "503-231-2641",
"fax_number": "503-467-4077"
}
],
"practiceLocations": [
{
"address_1": "1310 SW 17th Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972012522",
"country_code": "US",
"telephone_number": "971-261-0544",
"fax_number": "971-245-3043",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWSTROM",
"first_name": "SONYA",
"middle_name": "MARIE",
"credential": "CADC I/QMHA-I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-29",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "16-06-02",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "24-QMHA-I-004717",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500825267",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500714294",
"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 Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.