Active NPI
Sarah Lauren Eckstein, PH.D., M.S.
- Counseling Psychologist
- Vancouver, WA
National Provider Identifier
1588944417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PY61296860
- Practice address
- 701 NE 136TH Ave Ste 200
Vancouver, WA 98684-6937 - Phone
- (503) 893-9889
- Fax
- (503) 386-2645
- NPI assigned
- Aug 23, 2011
- Last updated
- Dec 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Counseling Psychologist | 103TC1900X | 3086 | OR | |
| Counseling Psychologist | 103TC1900X | PY61296860 | WA | Primary |
Addresses
Primary practice location
701 NE 136TH Ave Ste 200
Vancouver, WA 98684-6937
Mailing address
701 NE 136TH Ave Ste 200
Vancouver, WA 98684-6937
Phone (503) 893-9889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY61296860 | WA | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salus, LLC | Single Specialty | Current | Accepting new patients |
Locations
610 SW Alder St
Ste 320
Portland, OR 97205
Phone (503) 489-9445
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1588944417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 NE 136TH AVE STE 200",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986846937",
"telephone_number": "503-893-9889",
"fax_number": "503-386-2645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 NE 136TH AVE STE 200",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986846937",
"telephone_number": "503-893-9889",
"fax_number": "503-386-2645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKSTEIN",
"first_name": "SARAH",
"middle_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "PH.D., M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-23",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "OR",
"license": "3086",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "WA",
"license": "PY61296860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.