SADIE TEAGAN ANGELIQUE SOUZA LPC
NPI 1225651938
Counselor - Professional in Medford, OR

Active since May 28, 2020PECOS EnrolledAccepts Medicare Assignment
15 CRATER LAKE AVE, MEDFORD, OR 97504(541) 227-6687 Get Directions Write a Review

NPPES record last updated: December 26, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 26, 2025, Oct 8, 2025, Sep 5, 2025 and 2 more (5 updates tracked since 2020).

About Sadie Teagan Angelique Souza Lpc NPPES

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

SADIE TEAGAN ANGELIQUE SOUZA LPC (NPI 1225651938) is an individual professional provider in Medford, Oregon, licensed in Oregon (C9710) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1225651938
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSADIE TEAGAN ANGELIQUE SOUZACredential: LPC
Location Address15 CRATER LAKE AVEMedford, OR 97504-7444
Mailing AddressPo Box 1787Medford, OR 97501-0261 · (541) 500-8655 · Fax (800) 433-1396
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 28, 2020
Last NPPES UpdateDecember 26, 20255 updates tracked since enumeration
NPPES CertifiedDecember 26, 2025
NPI 1225651938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OR · C9710
15 CRATER LAKE AVE, Medford, OR 97504

Other Names 1

Former Name (1)Sadie Souza

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sadie Teagan Angelique Souza Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799275913
PECOS Enrollment IDI20251106003050
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

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

Counselor (Professional)
15 CRATER LAKE AVE
MEDFORD, OR 97504
Nurse Practitioner (Psychiatric/Mental Health)
15 CRATER LAKE AVE
MEDFORD, OR 97504
Nurse Practitioner (Psychiatric/Mental Health)
15 CRATER LAKE AVE
MEDFORD, OR 97504
Social Worker (Clinical)
15 CRATER LAKE AVE
MEDFORD, OR 97504

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 Sadie Souza's NPI number?

The NPI number for Sadie Souza is 1225651938. It was assigned to this individual provider in the NPPES registry on May 28, 2020.

Where is Sadie Souza located?

Sadie Souza practices at 15 Crater Lake Ave, Medford, OR 97504. The listed phone number is (541) 227-6687.

What is Sadie Souza's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Sadie Souza enrolled in Medicare?

Yes. Sadie Souza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sadie Souza accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Sadie Souza 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 Sadie Souza was last updated on December 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.