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SARAH JEAN TEDRICK LPC
NPI 1982281291
Counselor - Mental Health in Gresham, OR

Active since March 24, 2021PECOS Enrolled
510 NE ROBERTS AVE STE 200, GRESHAM, OR 97030(503) 300-6073 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 9, 2021, Mar 24, 2021 (2 updates tracked since 2021).

About Sarah Jean Tedrick Lpc NPPES

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

SARAH JEAN TEDRICK LPC (NPI 1982281291) is an individual mental health provider in Gresham, Oregon, licensed in Oregon (C5821) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1982281291
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSARAH JEAN TEDRICKCredential: LPC
Location Address510 NE ROBERTS AVE STE 200Gresham, OR 97030-7484
Mailing Address13424 Se 169th Ave # A120Happy Valley, OR 97015-8744 · (503) 960-2817
Phone(503) 300-6073
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 24, 2021
Last NPPES UpdateNovember 9, 20212 updates tracked since enumeration
NPPES CertifiedNovember 9, 2021
✔ NPI 1982281291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · C5821
510 NE ROBERTS AVE STE 200, Gresham, OR 97030
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sarah Jean Tedrick Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587135934
PECOS Enrollment IDI20260605002426
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.

Medicare Billing Reassignment

Medicare enrollment records show Sarah Tedrick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
2,696 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Oregon enrollment
  • 285 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

TIFFANY RAE BARR LPC
Counselor
510 NE ROBERTS AVE STE 200
GRESHAM, OR 97030
Multnomah County (503) 799-8819
LATRECE GAITHER M.A.
Marriage & Family Therapist
510 NE ROBERTS AVE STE 200
GRESHAM, OR 97030
Multnomah County (971) 236-2728
LATRECE GAITHER, LLC
Counselor (Mental Health)
510 NE ROBERTS AVE STE 200
GRESHAM, OR 97030
Multnomah County (971) 236-2728
CLOUD GARDEN COUNSELING, LLC
Counselor (Mental Health)
510 NE ROBERTS AVE STE 200
GRESHAM, OR 97030
Multnomah County (503) 799-8819
ALYCIA SMITH
Social Worker (Clinical)
510 NE ROBERTS AVE STE 200
GRESHAM, OR 97030
Multnomah County (971) 220-2496

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 Tedrick's NPI number?

The NPI number for Sarah Tedrick is 1982281291. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Sarah Tedrick located?

Sarah Tedrick practices at 510 NE Roberts Ave Ste 200, Gresham, OR 97030. The listed phone number is (503) 300-6073.

What is Sarah Tedrick's specialty?

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

Is Sarah Tedrick enrolled in Medicare?

Yes. Sarah Tedrick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sarah Tedrick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Tedrick reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sarah Tedrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarah Tedrick accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Sarah Tedrick 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 Tedrick was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.