Individual provider Active NPI

Lisa Marie Sacker, LPC ASSOCIATE

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1922508365
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C9757 Issued in OR
Practice address
224 S Hamilton St Ste 201
Portland, OR 97239-4784
Phone
(503) 260-4533
NPI assigned
Feb 12, 2018
Last updated
Aug 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X C9757 OR Primary

Addresses

Primary practice location

224 S Hamilton St Ste 201
Portland, OR 97239-4784

Mailing address

2850 SW Cedar Hills Blvd Unit 242
Beaverton, OR 97005-1354
Phone (503) 260-4533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260416003040 OR Practitioner - Mental Health Counselor 8628544673 Reassigns benefits to 1 organization
Practice locations: Portland, OR

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1220 SW 66TH Ave
Apt 2116
Portland, OR 97225-6086

224 S Hamilton St
Suite 201
Portland, OR 97239-4784
Phone (971) 710-9747

5285 Meadows Rd
Suite 170
Lake Oswego, OR 97035-3196

6419 NE 105TH Cir
Vancouver, WA 98686-7010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C9757ORMDMental Health Counselor

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1922508365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 SW CEDAR HILLS BLVD UNIT 242",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051354",
            "telephone_number": "503-260-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S HAMILTON ST STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394784",
            "telephone_number": "503-260-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKER",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "LPC ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C9757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.