Individual provider Active NPI

Sonja Mae Heifetz, LPCI

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1831793405
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6499 Issued in OR
Practice address
2285 NW Johnson St Ste E
Portland, OR 97210-3236
Phone
(971) 265-8763
NPI assigned
Nov 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6499 OR Primary

Addresses

Primary practice location

2285 NW Johnson St Ste E
Portland, OR 97210-3236

Mailing address

2285 NW Johnson St Ste E
Portland, OR 97210-3236
Phone (971) 265-8763

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6499ORMDVeterinarian

Practice roles

OrganizationSpecialtyStatusNew patients
Sonja Choi Heifetz Counseling LLC CurrentSince Jan 31, 2021 Accepting new patients

Locations

2285 NW Johnson St
Ste E
Portland, OR 97210
Phone (503) 933-0373

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1831793405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 NW JOHNSON ST STE E",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103236",
            "telephone_number": "971-265-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 NW JOHNSON ST STE E",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103236",
            "telephone_number": "971-265-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIFETZ",
        "first_name": "SONJA",
        "middle_name": "MAE",
        "credential": "LPCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "6499",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 24, 2020; 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.