SARA FULLER LMHCA, LPC INTERN
NPI 1750996104
Counselor - Mental Health in Portland, OR

NPI Status: Active since September 12, 2020

Contact Information

3583 NE BROADWAY ST
PORTLAND, OR
ZIP 97232
Phone: (503) 912-8939

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  • Individual
  • Female
  • Counselor
  • Mental Health

About SARA FULLER

This page provides the complete NPI Profile along with additional information for Sara Fuller, a provider established in Portland, Oregon with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1750996104 assigned on September 2020. The practitioner's primary taxonomy code is 101YM0800X with license number R5544 (OR). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1750996104
Provider Name
SARA FULLER LMHCA, LPC INTERN
Gender
Female
Entity Type
Individual
Location Address
3583 NE BROADWAY ST PORTLAND, OR 97232
Location Phone
(503) 912-8939
Mailing Address
2425 NE 50TH AVE # 13656 PORTLAND, OR 97213
Mailing Phone
(503) 912-8939
Is Sole Proprietor?
Yes
Enumeration Date
09-12-2020
Last Update Date
08-17-2021
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A mental health counselor like Sara Fuller provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
R5544
License State
OR

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750996104
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001891210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 8 + 9 + 1 + 2 + 1 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1750996104 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174859458 ATHENA PHILLIPS LCSW
Individual
Social Worker (Clinical)3583 NE BROADWAY ST
PORTLAND, OR 97232
(503) 819-4181
1578816260 ANDREW R PROCHNIAK LPC
Individual
Counselor (Professional)3583 NE BROADWAY ST
PORTLAND, OR 97232
(262) 880-0560
1477815033 CARLA CANFIELD LCSW
Individual
Social Worker (Clinical)3583 NE BROADWAY ST
PORTLAND, OR 97232
(503) 446-6228
1649817073LAUREL MARSHALL COUNSELING
Organization
Clinic/Center (Adult Mental Health)3583 NE BROADWAY ST
PORTLAND, OR 97232
(503) 298-9219
1154357366 PAUL T GIGER MD
Individual
Psychiatry & Neurology (Psychiatry)3583 NE BROADWAY ST
PORTLAND, OR 97232
(503) 284-1838
1639110273DR. MAURA D. SULLIVAN PSY.D.
Individual
Psychologist (Clinical)3583 NE BROADWAY ST
PORTLAND, OR 97232
(503) 432-8470
1356710347 LAUREN MERRELL DNP, PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)3583 NE BROADWAY ST
PORTLAND, OR 97232
(503) 218-3866

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750996104, enumerated in the NPI registry as an "individual" on September 12, 2020

The provider is located at 3583 Ne Broadway St Portland, Or 97232 and the phone number is (503) 912-8939

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

This NPI record was last updated on September 12, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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