Organization Active NPI

Sandy Counseling Center

  • Clinical Social Worker
  • Sandy, OR
National Provider Identifier
1487353496
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SANDY COUNSELING CENTER
Practice address
39084 Proctor Blvd Ste E
Sandy, OR 97055-8064
Phone
(503) 317-1077
Fax
(413) 215-5103
NPI assigned
Feb 28, 2023
Last updated
Mar 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Annie Marie Zander, LCSW, CADC IIINPI 1033369459
Title
Owner/Clinical Director
Phone
(503) 826-8500

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

39084 Proctor Blvd Ste E
Sandy, OR 97055-8064

Mailing address

39084 Proctor Blvd Ste E
Sandy, OR 97055-8064
Phone (503) 317-1077

National Provider Directory

National Provider Directory

Locations

39084 Proctor Blvd
Ste E
Sandy, OR 97055
Phone (503) 317-1077

Practitioners & affiliated clinicians

Practitioners 1

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": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1487353496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39084 PROCTOR BLVD STE E",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970558064",
            "telephone_number": "503-317-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39084 PROCTOR BLVD STE E",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970558064",
            "telephone_number": "503-317-1077",
            "fax_number": "413-215-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "ZANDER",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "503-826-8500",
        "authorized_official_credential": "LCSW, CADC III"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.