Organization Active NPI

Sanctuary in the City Counseling

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1679452544
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SANCTUARY IN THE CITY COUNSELING
Practice address
9630 SW Omara St
Portland, OR 97223-4929
Phone
(971) 393-7173
Fax
(971) 417-2095
NPI assigned
Aug 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Kim McDill, LPC
Title
Licensed Professional Counselor
Phone
(971) 393-7172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

9630 SW Omara St
Portland, OR 97223-4929

Mailing address

9630 SW Omara St
Portland, OR 97223-4929
Phone (971) 393-7173

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Www.sanctuaryinthecitycounseling.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1756252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1679452544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9630 SW OMARA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972234929",
            "telephone_number": "971-393-7173",
            "fax_number": "971-417-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9630 SW OMARA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972234929",
            "telephone_number": "971-393-7173",
            "fax_number": "971-417-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUARY IN THE CITY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "MCDILL",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "971-393-7172",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Www.sanctuaryinthecitycounseling.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "9630 SW OMara St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972234929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 27, 2025; 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.