Mary Ellen Saucedo

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

16535 SW TV Hwy
Beaverton, OR 97003-5143

Phone

(503) 649-5651

NPI assigned

Jun 3, 2015

Sex

Female

Sole proprietor

Yes

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

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.

• St Mary'S Home for Boys

  • Counseling Psychologist
  • Beaverton, OR
  • NPI 1619057098

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1891175998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16535 SW TV HWY",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970035143",
            "telephone_number": "503-649-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16535 SW TV HWY",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970035143",
            "telephone_number": "503-649-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUCEDO",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark E Sargeant, RPH
• Sarh Human Services, LLC
• Nazeneen Sarpakeh
• Lori S Sarutzki, L.M.T.
• Adriana Genir Sassi
• Kathryn J Saunders, BSW, RBSW
• Rebecca Saunders
• Jennifer Savage, LAC
• Kimberly Savage, DC, DACNB
• Savvy Communication Consulting

• Mental Health Counselor in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.