Samantha Allison Mandel, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C6304 Issued in OR

Practice address

7704 N Hereford Ave
Portland, OR 97203-3434

Phone

(971) 319-4827

Fax

(503) 662-6221

NPI assigned

Jul 27, 2017

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Sprout Therapy PDX LLC

  • Counselor
  • Portland, OR
  • NPI 1093346777
  Medicare reassignment NPD
• Sprout Therapy PDX

  • Mental Health Counselor
  • Portland, OR
  • NPI 1457190969
  NPD

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1679097091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9133 N ALLEGHENY AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972032303",
            "telephone_number": "971-319-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7704 N HEREFORD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972033434",
            "telephone_number": "971-319-4827",
            "fax_number": "503-662-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDEL",
        "first_name": "SAMANTHA",
        "middle_name": "ALLISON",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C6304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandala Acupuncture & Bodywork. LLC
• Mandala Medicine Acupuncture LLC
• Mandala Mental and Behavioral Health, LLC
• David Mandala
• Elizabeth Ann Mandel, PNP
• Stephanie Mandel, PSY.D.
• Debra Lee Mandelblatt, PA
• Steven J Mandelblatt, M.D.
• Barbara Deborah Mandell, MSW, LCSW
• Hari Priya Mandelli

• Professional Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.