Sharad Yadav

Primary specialty

CounselorTaxonomy code 101Y00000X

License

R10219 Issued in OR

Practice address

9201 SE Foster Rd
Portland, OR 97266-4644

Phone

(971) 208-7130

NPI assigned

Apr 21, 2025

Sex

Male

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

State licenses

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.

• Sharad Yadav LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, OR
  • NPI 1073435871
  NPD (past) Authorized official

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1942097308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9818 NE SKIDMORE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203564",
            "telephone_number": "208-412-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 SE FOSTER RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972664644",
            "telephone_number": "971-208-7130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6536 SE Duke St # 2",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972066665",
            "country_code": "US",
            "telephone_number": "208-412-0421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YADAV",
        "first_name": "SHARAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "R10219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph Yachoui, M.D.
• Thomas Harold Yacoe
• Timmothy Yacoub
• Yonney Yadao, RPH
• Lokesh Kumar Yadav, MBBS
• Vijayshree Yadav, MD
• Gelgelu Yadeto
• Brianna Yadon, LCSW
• Zamina Yadullayeva
• Deborah Yaeger, M.D.

• Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.