Emily Dean Sanborn, LPC REGISTEED INTERN

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

R3801 Issued in OR

Practice address

22018 S Central Point Rd
Canby, OR 97013-8705

Phone

(503) 221-4531

NPI assigned

May 8, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Alliance Counseling Center, Inc

  • Mental Health Counselor
  • Canby, OR
  • NPI 1255495719
  NPD (past)

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1821587593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4506 SE FIELDCREST ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972225031",
            "telephone_number": "503-936-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22018 S CENTRAL POINT RD",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970138705",
            "telephone_number": "503-221-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANBORN",
        "first_name": "EMILY",
        "middle_name": "DEAN",
        "credential": "LPC REGISTEED INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "R3801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deidre Rosier
• Maximilian Ruiz Dezarate
• Abby Jean Russell
• Jesse David Winslow Russell, PA-C
• Victoria Saager
• Jessica Leigh Sappenfield
• Catherine Mary Saunders, MA, LPC
• Nathan Denson Savage-Lee
• Judith Michelle Schmidt, RN
• Anna Ruth Schwam, D.M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.