1. Home
  2. Directory
  3. Oregon
  4. Roseburg
  5. Counselor
  6. NPI Profile

SARA A KOYANO QMHP-R, CADC-R
NPI 1336772417
Counselor - Addiction (Substance Use Disorder) in Roseburg, OR

Active since February 18, 2020
3099 NE DIAMOND LAKE BLVD, ROSEBURG, OR 97470(541) 673-3469 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 13, 2023, Jan 21, 2022, Aug 21, 2020 and 3 more (6 updates tracked since 2020).

About Sara A Koyano Qmhp-r, Cadc-r NPPES

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

SARA A KOYANO QMHP-R, CADC-R (NPI 1336772417) is an individual addiction (substance use disorder) provider in Roseburg, Oregon, licensed in Oregon (T-21-1068) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1336772417
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSARA A KOYANOCredential: QMHP-R, CADC-R
Location Address3099 NE DIAMOND LAKE BLVDRoseburg, OR 97470-3655
Mailing AddressPo Box 1121Roseburg, OR 97470-0254 · (541) 492-4550
Phone(541) 673-3469
Sole ProprietorNo
Enumeration DateFebruary 18, 2020
Last NPPES UpdateMarch 13, 20236 updates tracked since enumeration
NPPES CertifiedMarch 13, 2023
✔ NPI 1336772417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · T-21-1068
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 20-QMHP-R-0193 (OR)
3099 NE DIAMOND LAKE BLVD, Roseburg, OR 97470
Open in Google Maps ↗

Other Identifiers 1

Medicaid500776784OR

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.

SARAH REBECCA JO MOON
Counselor (Addiction (Substance Use Disorder))
3099 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470
Douglas County (541) 672-2691
JESSICA ANNE ATTERBURY
Counselor (Addiction (Substance Use Disorder))
3099 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470
Douglas County (541) 673-3469
LEVI MILLS
Peer Specialist
3099 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470
Douglas County (541) 672-2691
CAROLYN C STARNES
Registered Nurse
3099 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470
Douglas County (541) 673-3469
JESSICA MICHELLE SCHULZE RN
Registered Nurse
3099 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470
Douglas County (541) 673-3469
MICHAEL E GREGG
Licensed Practical Nurse
3099 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470
Douglas County (541) 673-3469
TAMMIE L POTTER
Counselor (Addiction (Substance Use Disorder))
3099 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470
Douglas County (541) 673-3469
TYLER ROWLAND
Counselor (Addiction (Substance Use Disorder))
3099 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470
Douglas County (541) 440-3532

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 Sara Koyano's NPI number?

The NPI number for Sara Koyano is 1336772417. It was assigned to this individual provider in the NPPES registry on February 18, 2020.

Where is Sara Koyano located?

Sara Koyano practices at 3099 NE Diamond Lake Blvd, Roseburg, OR 97470. The listed phone number is (541) 673-3469.

What is Sara Koyano's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Sara Koyano was last updated on March 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.