What is Serena Sullivan's NPI number?

Serena Sullivan's National Provider Identifier (NPI) is 1164857173, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Serena Sullivan's specialty?

Serena Sullivan is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Serena Sullivan located?

Serena Sullivan's practice location on file with NPPES is 11035 Ne Sandy Blvd, Portland, OR 97220-2553.

What is Serena Sullivan's phone number?

The practice phone number listed in the NPPES registry for Serena Sullivan is (503) 258-4200.

Is Serena Sullivan's NPI active?

Yes — Serena Sullivan's NPI (1164857173) is active in the NPPES registry as of the last update on 2016-07-29.

IndividualActive

Serena Sullivan

NPI 1164857173 · Mental Health Counselor · Portland, OR

Serena Sullivan is a Mental Health Counselor provider in Portland, OR (NPI 1164857173).

Provider details

NPI number: 1164857173
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800X
Behavioral Health & Social Service Providers

Profile Score

Established profile(70/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
12 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

11035 Ne Sandy Blvd

Portland, OR 97220-2553

Phone: (503) 258-4200

Street-level locationGet directions

More OR providers

Mailing address