Organization Active NPI

Pneuma Counseling, LLC

  • Community/Behavioral Health Agency
  • Portland, OR
National Provider Identifier
1659815660
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C4343 Issued in OR
Legal business name
PNEUMA COUNSELING, LLC
Practice address
4036 NE Sandy Blvd
Suite 203
Portland, OR 97212-5335
Phone
(503) 619-6994
NPI assigned
Dec 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Authorized official

Name
Sarah Probst, LPCNPI 1033587241
Title
Owner
Phone
(503) 619-6994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C4343 OR Primary

Addresses

Primary practice location

4036 NE Sandy Blvd
Suite 203
Portland, OR 97212-5335

Mailing address

10225 NE Holladay St
Portland, OR 97220-3920
Phone (503) 619-6994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240425003502 LA Part B Supplier - Clinic/Group Practice 7911347869 Receives reassigned benefits from 1 practitioner
Practice locations: Mandeville, LA

National Provider Directory

National Provider Directory

Locations

102 Fontainbleau Dr
Ste D2
Mandeville, LA 70471
Phone (985) 200-8898

4036 NE Sandy Blvd
Ste 203
Portland, OR 97212
Phone (503) 500-5900

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1659815660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 NE HOLLADAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203920",
            "telephone_number": "503-619-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4036 NE SANDY BLVD",
            "address_2": "SUITE 203",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125335",
            "telephone_number": "503-619-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNEUMA COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-09",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "PROBST",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-619-6994",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "C4343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.