NPIMap

Organization Active NPI

Sankofa Counseling, LLC

  • Professional Counselor
  • Portland, OR
National Provider Identifier
1851842108
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SANKOFA COUNSELING, LLC
Practice address
5014 NE 15TH Ave
Portland, OR 97211-4406
Phone
(503) 444-8214
Fax
(888) 978-8164
NPI assigned
Oct 21, 2016
Last updated
Mar 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Vanessa Washington, LPCNPI 1548540545
Title
Owner/Member
Phone
(503) 444-8214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C0084 OR
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

5014 NE 15TH Ave
Portland, OR 97211-4406

Mailing address

PO Box 20127
Portland, OR 97294-0127
Phone (503) 444-8214

Other practice location 1

511 SW 10th Ave Ste 1104
Portland, OR 97205-2712
Phone (503) 444-8214

Other practice location 2

520 SW 6th Ave
Suite 810
Portland, OR 97204-1535
Phone (503) 804-4102

Other identifiers 2

IdentifierTypeStateIssuer
500804942MedicaidOR
500723905MedicaidOR

Other names 1

  • Maynard Counseling and Consulting, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

5014 NE 15th Ave
Portland, OR 97211
Phone (503) 389-5646

511 SW 10th Ave
Ste 1104
Portland, OR 97205
Phone (503) 444-8214

520 SW 6th Ave
Ste 810
Portland, OR 97204
Phone (503) 284-3847

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1851842108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20127",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972940127",
            "telephone_number": "503-444-8214",
            "fax_number": "888-978-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5014 NE 15TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972114406",
            "telephone_number": "503-444-8214",
            "fax_number": "888-978-8164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 SW 10th Ave Ste 1104",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972052712",
            "country_code": "US",
            "telephone_number": "503-444-8214",
            "fax_number": "888-978-8164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 SW 6th Ave",
            "address_2": "Suite 810",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972041535",
            "country_code": "US",
            "telephone_number": "503-804-4102",
            "fax_number": "888-978-8164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANKOFA COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "503-444-8214",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C0084",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500804942",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500723905",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maynard Counseling and Consulting, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Mar 16, 2023; 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.