Sarah Boomhower

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PROFESSIONALLICENSE

Practice address

17640 NE Halsey St
Portland, OR 97230-6733

Phone

(503) 489-5045

Fax

(503) 489-5638

NPI assigned

Sep 12, 2012

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

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.

• Columbiacare Services Inc

  • Psychiatric Residential Treatment Facility
  • Medford, OR
  • NPI 1649466475
  Medicare reassignment NPD
• Columbiacare Services Inc

  • Adult Mental Health Clinic/Center
  • Medford, OR
  • NPI 1992223630
  NPD
• Columbiacare Services

  • Psychiatric Residential Treatment Facility
  • Portland, OR
  • NPI 1386720142
  NPD (past)

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1629328117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3587 HEATHROW WAY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044004",
            "telephone_number": "541-858-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17640 NE HALSEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972306733",
            "telephone_number": "503-489-5045",
            "fax_number": "503-489-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOMHOWER",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "PROFESSIONALLICENSE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Oscar Bookin, MD
• Erin Kathleen Bookout, MS, CCC-SLP
• Steven Bookout
• Matthew Mason Bookwalter, DPM
• Victor Boomer-Jenks, LCSW; LICSW;
• Alex Boon
• Eric Boon, CRM
• Deedra Danette Boone, RN
• Elijah James Boone
• Jhaiman X-Zavier Boone

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.

Verify at the official NPI Registry.