SOPHIA KATE ANTHONY
NPI 1275155889
Marriage & Family Therapist in Portland, OR

Q: What is Sophia Anthony's NPI number?

The NPI number for Sophia Anthony is 1275155889. It was assigned to this individual provider in the NPPES registry on May 18, 2020.

Q: What is Sophia Anthony's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Sophia Anthony enrolled in Medicare?

No. Sophia Anthony has opted out of Medicare through March 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Sophia Anthony was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since May 18, 2020Opted out of Medicare · through Mar 12, 2027

2923 NE BROADWAY ST, PORTLAND, OR 97232(503) 941-0856 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2024, Jul 25, 2023, Sep 2, 2022 and 2 more (5 updates tracked since 2020).

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About Sophia Kate Anthony NPPES

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

SOPHIA KATE ANTHONY (NPI 1275155889) is an individual marriage & family therapist in Portland, Oregon, licensed in Oregon (T2733) and active in the NPI registry since May 2020. She has opted out of Medicare through March 12, 2027.

NPPES Registry Identity

NPI1275155889

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSOPHIA KATE ANTHONY

Location Address2923 NE BROADWAY STPortland, OR 97232-1760

Mailing Address2923 Ne Broadway StPortland, OR 97232-1760 · (503) 941-0856

Phone(503) 941-0856

Sole ProprietorNo

Enumeration DateMay 18, 2020

Last NPPES UpdateDecember 10, 20245 updates tracked since enumeration

NPPES CertifiedDecember 10, 2024

✔ NPI 1275155889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in OR · T2733✔ Licensed in WA · MG61219076✔ Licensed in OR · R7046

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2923 NE BROADWAY ST, Portland, OR 97232

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Sophia Kate Anthony has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 12, 2025 through March 12, 2027.

Opt-Out Effective DateMarch 12, 2025

Opt-Out In Effect ThroughMarch 12, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

ALISSA GODDARD

Counselor (Mental Health)