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
| License | State | Type | Specialty |
|---|---|---|---|
| C9063 | OR | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Alicia Arey
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- Victoria Louise Argo
- Mary-Ann Argoe
- Manuel Dennis Arguello
- Sharon Arhin
- Aria Alessia Pediatric Clinic, LLC
- Aria Walker, Lac
- Jose A Arias Echeverria
- Luis Arias Espinosa
All providers in Portland, OR · Professional Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.