Active NPI
Stephanie Harris
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1427804384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- R7975
- Practice address
- 5014 NE 15TH Ave
Portland, OR 97211-4406 - Phone
- (503) 444-8214
- Fax
- (888) 978-8164
- NPI assigned
- Apr 30, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | R7975 | OR | Primary |
Addresses
Primary practice location
5014 NE 15TH Ave
Portland, OR 97211-4406
Mailing address
PO Box 20127
Portland, OR 97294-0127
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 |
|---|---|---|---|
| R7975 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sankofa Counseling, LLC | Mental Health | Current | Accepting new patients |
Locations
5014 NE 15th Ave
Portland, OR 97211
Phone (503) 389-5646
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1427804384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20127",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972940127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5014 NE 15TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972114406",
"telephone_number": "503-444-8214",
"fax_number": "888-978-8164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-30",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "R7975",
"primary": true
}
],
"identifiers": [],
"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 Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.