Organization Active NPI

Sarah Wilson Counseling

  • Adolescent and Children Mental Health Clinic/Center
  • Portland, OR
National Provider Identifier
1699133348
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
C3951 Issued in OR
Legal business name
SARAH WILSON COUNSELING
Practice address
1135 SE Salmon St
Unit 101
Portland, OR 97214-3375
Phone
(503) 729-2920
NPI assigned
Feb 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Authorized official

Name
Sarah Catherine Wilson, LPC
Title
Child, Adult and Family Therapist
Phone
(503) 729-2920

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X C3951 OR
Adolescent and Children Mental Health Clinic/Center 261QM0855X C3951 OR Primary

Addresses

Primary practice location

1135 SE Salmon St
Unit 101
Portland, OR 97214-3375

Mailing address

1135 Southeast Salmon Street
Unit 101
Portland, OR 97214
Phone (503) 729-2920

Other identifiers 1

IdentifierTypeStateIssuer
C3951OtherORLPC

National Provider Directory

National Provider Directory

Locations

1135 SE Salmon St
Ste 101
Portland, OR 97214
Phone (503) 573-8388

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1699133348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 SOUTHEAST SALMON STREET",
            "address_2": "UNIT 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97214",
            "telephone_number": "503-729-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 SE SALMON ST",
            "address_2": "UNIT 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143375",
            "telephone_number": "503-729-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH WILSON COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "CHILD, ADULT AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "503-729-2920",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OR",
            "license": "C3951",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "OR",
            "license": "C3951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "C3951",
            "state": "OR"
        }
    ],
    "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 Feb 9, 2016; 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.