Myra Sicilia

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

1720 NW Lovejoy St
328
Portland, OR 97209-2346

Phone

(503) 597-8675

NPI assigned

Aug 7, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Sakura Counseling, LLC

  • Counselor
  • Portland, OR
  • NPI 1689381543
  NPD Authorized official

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1497131858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 NW 20TH AVE",
            "address_2": "#204",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091454",
            "telephone_number": "503-597-8675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 NW LOVEJOY ST",
            "address_2": "328",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092346",
            "telephone_number": "503-597-8675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICILIA",
        "first_name": "MYRA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Sibree
• Irish Christian Sicat
• Noel Marie Sicat, LCSW
• Kayla Sichampanahone
• Laura I Sicignano, MSW
• Gareth Thomas Sick
• Kevin Dale Sickel, O.D.
• John Gregory Sickler, LCSW
• Mindy Kristine Sickler, BA
• Tessa Rose Sicotte-Kelly

• Marriage & Family Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.