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SERENA D SULLIVAN
NPI 1164857173
Counselor - Mental Health in Portland, OR

Active since September 10, 2013
11035 NE SANDY BLVD, PORTLAND, OR 97220(503) 258-4200 Get Directions Write a Review

NPPES record last updated: July 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Serena D Sullivan NPPES

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

SERENA D SULLIVAN (NPI 1164857173) is an individual mental health provider in Portland, Oregon and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1164857173
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSERENA D SULLIVAN
Location Address11035 NE SANDY BLVDPortland, OR 97220-2553
Mailing Address11035 Ne Sandy BlvdPortland, OR 97220-2553 · (503) 258-4200
Phone(503) 258-4200
Sole ProprietorYes
Enumeration DateSeptember 10, 2013
Last NPPES UpdateJuly 29, 2016
✔ NPI 1164857173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
11035 NE SANDY BLVD, Portland, OR 97220
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 20

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

MR. WALTER ROBIN STEFAN III
Case Manager/Care Coordinator
11035 NE SANDY BLVD
PORTLAND, OR 97220
Multnomah County (503) 258-4200
RACHEL ELENA IATAROLA
Counselor
11035 NE SANDY BLVD
PORTLAND, OR 97220
Multnomah County (503) 736-6646
HANSA GUTIERREZ
Marriage & Family Therapist
11035 NE SANDY BLVD
PORTLAND, OR 97220
Multnomah County (503) 258-4545
HALEIGH REYES
Case Manager/Care Coordinator
11035 NE SANDY BLVD
PORTLAND, OR 97220
Multnomah County (503) 258-4200
EDITH YANIRA QUINTANILLA
Case Manager/Care Coordinator
11035 NE SANDY BLVD
PORTLAND, OR 97220
Multnomah County (503) 258-4200
JANE GONZALEZ
Counselor
11035 NE SANDY BLVD
PORTLAND, OR 97220
Multnomah County (503) 258-4200
CARYN BERLEY MSW
Counselor (Mental Health)
11035 NE SANDY BLVD
PORTLAND, OR 97220
Multnomah County (503) 258-4200
KIMBREE LERAY BROWN MS
Counselor
11035 NE SANDY BLVD
PORTLAND, OR 97220
Multnomah County (503) 258-4200

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 Serena Sullivan's NPI number?

The NPI number for Serena Sullivan is 1164857173. It was assigned to this individual provider in the NPPES registry on September 10, 2013.

Where is Serena Sullivan located?

Serena Sullivan practices at 11035 NE Sandy Blvd, Portland, OR 97220. The listed phone number is (503) 258-4200.

What is Serena Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Serena Sullivan accept?

Health plans from Moda Health Plan, Inc. list Serena Sullivan 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 Serena Sullivan was last updated on July 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.