Nika Tate Sprite Erwin

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2223 NE 47TH Ave
Portland, OR 97213-1911

Phone

(503) 308-9663

NPI assigned

Oct 26, 2022

Sex

Unspecified or another gender identity

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

• Tate Sprite Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1649997909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SW 5TH AVE STE 900",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041431",
            "telephone_number": "503-708-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 NE 47TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131911",
            "telephone_number": "503-308-9663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2355 STATE ST STE 101",
            "address_2": "(just the registered agent address for the business)",
            "address_purpose": "LOCATION",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301",
            "country_code": "US",
            "telephone_number": "503-308-9663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERWIN",
        "first_name": "NIKA",
        "middle_name": "TATE SPRITE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2022-10-26",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TATE",
            "last_name": "SPRITE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarah Erter, M.S., CCC-SLP
• Alex Ervin
• Sonja Ervin, QMHP MA
• Anna Erway, RN, BSN
• Matthew Erwin, LMT
• Stephen Lawrence Erwin, DMD
• Amy Esatto, RD, LD
• Anthony George Esau, ND
• Marie Augustina Escamilla, NUTRITIONIST
• Eric Eschelbach

• 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 Jun 14, 2024; 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.