Sarah Megan Blaszczak, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166.001101 Issued in IL

Practice address

2512 NW Marshall St Apt 5
Portland, OR 97210-2882

Phone

(510) 213-3389

NPI assigned

Nov 27, 2007

Last updated

Mar 31, 2019By the provider in NPPES

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

Other names 1

• Sarah Borof Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553990400000",
    "number": "1649452194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 NW MARSHALL ST APT 5",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102882",
            "telephone_number": "510-213-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 NW MARSHALL ST APT 5",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102882",
            "telephone_number": "510-213-3389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34079 N Wooded Glen Dr",
            "address_purpose": "LOCATION",
            "city": "Grayslake",
            "state": "IL",
            "postal_code": "600304022",
            "country_code": "US",
            "telephone_number": "510-213-3389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLASZCZAK",
        "first_name": "SARAH",
        "middle_name": "MEGAN",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2019-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.001101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sarahblaszczak.wixsite.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2512 NW Marshall St Apt 5",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972102882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "BOROF",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Linda Blarjeske
• Peter Anthony Blasco, MD
• Carolyn S. Blasdel, FNP
• Tiffany Blaser, CADC-R
• Ethan Andrew Blashford, PHARMD
• Maria Blaszkiw
• Philip James Blatt, MD
• Richard Blatt, LMT
• Linda Kathleen Blatter, QMHP-C
• Ranann Blatter, LPC

• 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 Mar 31, 2019; 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.