Individual provider Active NPI

Sara J Jensen, PSY. D.

  • Psychologist
  • Beaverton, OR
National Provider Identifier
1962736298
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2585 Issued in OR
Practice address
8285 SW Nimbus Ave Ste 130
Beaverton, OR 97008-6428
Phone
(503) 610-2044
NPI assigned
Sep 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Psychologist 103T00000X 2585 OR Primary

Addresses

Primary practice location

8285 SW Nimbus Ave Ste 130
Beaverton, OR 97008-6428

Mailing address

8285 SW Nimbus Ave Ste 130
Beaverton, OR 97008-6428
Phone (503) 610-2044

Other practice location 1

425 2nd Ave SW
Albany, OR 97321-2482
Phone (541) 967-3866 ext. 2337

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
I20250113001996 OR Practitioner - Clinical Psychologist 7517495963 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Colorado, P.C. Current Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Nov 1, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Mental Health CurrentSince Nov 1, 2024 Accepting new patients
Eugene Therapy LLC Past Accepting new patients

Locations

11000 Optum Cir
Eden Prairie, MN 55344
Phone (888) 445-8745

8285 SW Nimbus Ave
Ste 130
Beaverton, OR 97008
Phone (503) 610-2044

8505 SW Creekside Pl
Beaverton, OR 97008
Phone (503) 316-6770

399 E 10th Ave
Eugene, OR 97401
Phone (541) 868-2004

1306 NW Hoyt St
Ste 407
Portland, OR 97209
Phone (971) 407-3930

Interoperability endpoints

  • Direct secure messaging: sara.jensen.1@28621.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1962736298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8285 SW NIMBUS AVE STE 130",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970086428",
            "telephone_number": "503-610-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8285 SW NIMBUS AVE STE 130",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970086428",
            "telephone_number": "503-610-2044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 2nd Ave SW",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973212482",
            "country_code": "US",
            "telephone_number": "541-967-3866 x2337",
            "fax_number": "541-812-8784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "SARA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-18",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "2585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.