Individual provider Active NPI

Sarah Lauren Eckstein, PH.D., M.S.

  • Counseling Psychologist
  • Vancouver, WA
National Provider Identifier
1588944417
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY61296860 Issued in WA
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220107000920 OR Practitioner - Clinical Psychologist 8527459213 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY61296860WAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Salus, LLC Single Specialty CurrentSince Aug 26, 2021 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

Verify at the official NPI Registry.