Individual provider Active NPI

Hailey MC Kenzie Sarnacki, CADC, QMHA

  • Addiction (Substance Use Disorder) Counselor
  • Gresham, OR
National Provider Identifier
1508765132
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
2072 NE Burnside Rd
Gresham, OR 97030-7950
Phone
(971) 436-2560
NPI assigned
Nov 2, 2026
Last updated
Nov 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

2072 NE Burnside Rd
Gresham, OR 97030-7950

Mailing address

7000 SW Varns St
Tigard, OR 97223-8006

Other practice location 1

7000 SW Varns St
Tigard, OR 97223-8006
Phone (503) 749-0200

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1793577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793577600000",
    "number": "1508765132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 SW VARNS ST",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2072 NE BURNSIDE RD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307950",
            "telephone_number": "971-436-2560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 SW Varns St",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972238006",
            "country_code": "US",
            "telephone_number": "503-749-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARNACKI",
        "first_name": "HAILEY",
        "middle_name": "MC KENZIE",
        "credential": "CADC, QMHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-11-02",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.