Sophia Champawat Denicola Arguello, LPC

Individual provider Active NPI Professional Counselor · Portland, OR

NPI 1780109132 · NPPES record last updated Sep 5, 2025

Key facts

NPI
1780109132
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
C9063 (OR)
Practice address
4224 NE Halsey St Ste 335
Portland, OR 97213-1568
Phone
(415) 652-7456
NPI assigned
Aug 7, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
C9063ORMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X C9063 OR Yes
Mental Health Counselor 101YM0800X C9063 OR

Addresses

Primary practice location

4224 NE Halsey St Ste 335
Portland, OR 97213-1568

Mailing address

1829 NE Junior St
Portland, OR 97211-5326
Phone (415) 652-7456

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 5, 2025.

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1780109132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 NE JUNIOR ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972115326",
            "telephone_number": "415-652-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 NE HALSEY ST STE 335",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131568",
            "telephone_number": "415-652-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARGUELLO",
        "first_name": "SOPHIA",
        "middle_name": "CHAMPAWAT DENICOLA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C9063",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C9063",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

All providers in Portland, OR · Professional Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.