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DYNAMIC SELF RECOVERY
NPI 1083205298
Clinic/Center - Mental Health (Including Community Mental Health Center) in Albany, OR

Active since January 30, 2021CLIA 38D2226159 · Waiver
1010 11TH AVE SW, ALBANY, OR 97321(541) 829-1199(833) 770-4969 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 5, 2024, Oct 20, 2023, Sep 6, 2023 and 3 more (6 updates tracked since 2021).

About Dynamic Self Recovery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DYNAMIC SELF RECOVERY (NPI 1083205298) is a healthcare organization registered as a mental health (including community mental health center) in Albany, Oregon and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through May 25, 2027 and lists Carol Ann Mccollum, Supervisor, as its authorized official.

NPPES Registry Identity

NPI1083205298
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSARAH SORIC THERAPY LLC
Location Address1010 11TH AVE SWAlbany, OR 97321-2019
Mailing Address1010 11th Ave SwAlbany, OR 97321-2019 · (541) 791-7193
Phone(541) 829-1199
Fax(833) 770-4969
Organization SubpartNo
Authorized OfficialCarol Ann MccollumSupervisor · (541) 621-2698
Enumeration DateJanuary 30, 2021
Last NPPES UpdateJanuary 5, 20246 updates tracked since enumeration
NPPES CertifiedDecember 28, 2023
✔ NPI 1083205298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1010 11TH AVE SW, Albany, OR 97321
Open in Google Maps ↗

Other Names 1

Doing Business AsDynamic Self Recovery

Other Identifiers 1

Medicaid500722423OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2226159

Sarah Soric Therapy LLC Dba Dynamic Self Recovery · Albany, OR
Active · expires May 25, 2027
CLIA Number38D2226159
Laboratory TypeDrug Outpatient Treatment
Certificate Effective DateMay 26, 2025
Certificate Expiration DateMay 25, 2027
Laboratory DirectorSarah Soric
Laboratory Phone(541) 791-7193
Laboratory LocationSarah Soric Therapy LLC Dba Dynamic Self Recovery1010 11th Ave SW, Albany, OR 97321
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH J SORIC
Counselor (Mental Health)
1010 11TH AVE SW
ALBANY, OR 97321
Benton County (541) 791-7193
JENNA MARIE BEAN
Counselor (Addiction (Substance Use Disorder))
1010 11TH AVE SW
ALBANY, OR 97321
Benton County (541) 248-7810
LATOYA SMITH
Social Worker
1010 11TH AVE SW
ALBANY, OR 97321
Benton County (971) 301-1515
MRS. ELIZABETH HUNTER LIZ
Counselor (Mental Health)
1010 11TH AVE SW
ALBANY, OR 97321
Benton County (541) 791-7193
CAILA WOLDEIT
Counselor (Mental Health)
1010 11TH AVE SW
ALBANY, OR 97321
Benton County (541) 829-1199
NATHAN MAURICE ROGERS B.S.
Student in an Organized Health Care Education/Training Program
1010 11TH AVE SW
ALBANY, OR 97321
Benton County (541) 791-7193
MELISSA MATTSON
Counselor (Mental Health)
1010 11TH AVE SW
ALBANY, OR 97321
Benton County (541) 791-7163
KATHRYN ANN GOLDBERG
Counselor (Mental Health)
1010 11TH AVE SW
ALBANY, OR 97321
Benton County (541) 204-1818

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sarah Soric Therapy LLC's NPI number?

The NPI number for Sarah Soric Therapy LLC is 1083205298. It was assigned to this organization in the NPPES registry on January 30, 2021. The provider is doing business as Dynamic Self Recovery.

Where is Sarah Soric Therapy LLC located?

Sarah Soric Therapy LLC is located at 1010 11th Ave SW, Albany, OR 97321. The listed phone number is (541) 829-1199.

What is Sarah Soric Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Sarah Soric Therapy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2226159) is associated with this NPI, valid through May 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sarah Soric Therapy LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Sarah Soric Therapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sarah Soric Therapy LLC was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.