Active NPI
Sandra D Munn, LPC
- Professional Counselor
- Aloha, OR
National Provider Identifier
1861853830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C4977
- Practice address
- 4585 SW 185TH Ave
Aloha, OR 97078-1557 - Phone
- (503) 591-9280
- Fax
- (503) 848-2072
- NPI assigned
- Mar 17, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C4977 | OR | Primary |
Addresses
Primary practice location
4585 SW 185TH Ave
Aloha, OR 97078-1557
Mailing address
1515 Liberty St SE
Salem, OR 97302-4345
Phone (503) 951-6280
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Options Counseling Services of Oregon | Mental Health | Current | Accepting new patients |
Locations
1515 Liberty St SE
Salem, OR 97302
Phone (503) 951-6280
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.
-
- Mental Health Counselor
- Eugene, OR
- NPI 1548275217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591660800000",
"number": "1861853830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 LIBERTY ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973024345",
"telephone_number": "503-951-6280",
"fax_number": "503-848-2072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4585 SW 185TH AVE",
"city": "ALOHA",
"state": "OR",
"postal_code": "970781557",
"telephone_number": "503-591-9280",
"fax_number": "503-848-2072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNN",
"first_name": "SANDRA",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-17",
"last_updated": "2020-06-09",
"certification_date": "2020-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C4977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aloha, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.