| Sapphire Blue Behavioral Health Solutions | |
|
5285 Meadows Rd Ste 170 Lake Oswego OR 97035-3478 | |
| (503) 276-5216 | |
| Not Available |
| Full Name | Sapphire Blue Behavioral Health Solutions |
|---|---|
| Speciality | Counselor |
| Location | 5285 Meadows Rd Ste 170, Lake Oswego, Oregon |
| Authorized Official Name and Position | A. Nicole La Verne (CEO) |
| Authorized Official Contact | 5037265216 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sapphire Blue Behavioral Health Solutions 5285 Meadows Rd Ste 170 Lake Oswego OR 97035-3478 Ph: (503) 276-5216 | Sapphire Blue Behavioral Health Solutions 5285 Meadows Rd Ste 170 Lake Oswego OR 97035-3478 Ph: (503) 276-5216 |
| NPI Number | 1558839068 |
|---|---|
| Provider Enumeration Date | 11/02/2018 |
| Last Update Date | 01/08/2024 |
| Certification Date | 01/08/2024 |
| Medicare PECOS PAC ID | 7911358775 |
|---|---|
| Medicare Enrollment ID | O20240105003842 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558839068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Monica R Meyer Pankow |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669778940 PECOS PAC ID: 1658722681 Enrollment ID: I20240103004752 |
| Provider Name | A. Nicole La Verne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083699979 PECOS PAC ID: 3274984034 Enrollment ID: I20240207001962 |
| Provider Name | Jacquelyn T Blackwell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194178830 PECOS PAC ID: 0941646889 Enrollment ID: I20240313003037 |
| Provider Name | Beth D Stoner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780154203 PECOS PAC ID: 8123466463 Enrollment ID: I20240404003097 |
| Provider Name | Shayna B Crespo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528592284 PECOS PAC ID: 1850732819 Enrollment ID: I20240508003799 |
| Provider Name | Anna M Jorge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598207508 PECOS PAC ID: 2365836665 Enrollment ID: I20240516001957 |
| Provider Name | Jeb S Oliver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578229787 PECOS PAC ID: 0547706848 Enrollment ID: I20240723002644 |
| Provider Name | Courtney H Slater |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871847145 PECOS PAC ID: 2567908874 Enrollment ID: I20240723002953 |
| Provider Name | Vinay Gaglani |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932398583 PECOS PAC ID: 8820534142 Enrollment ID: I20240723003393 |
| Provider Name | Angela M Duncan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720327000 PECOS PAC ID: 5991245938 Enrollment ID: I20240905002161 |
| Provider Name | Ashley M Scroggins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609214717 PECOS PAC ID: 4183158488 Enrollment ID: I20241108002432 |
Mitch Elovitz, Lpc, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15100 Boones Ferry Rd, Lake Oswego, OR 97035 Phone: 503-804-3063 Fax: 503-635-9127 | |
Kokua Counseling Pdx, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16780 Bryant Rd, Suite 8, Lake Oswego, OR 97035 Phone: 503-869-2933 | |
Cynthia Steinhauser, Lcsw Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11830 Sw Kerr Pkwy, Suite 370, Lake Oswego, OR 97035 Phone: 503-293-8300 Fax: 503-293-8388 | |
Leading Light Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14511 Westlake Dr Ste 121, Lake Oswego, OR 97035 Phone: 503-957-1032 | |
Ally Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5655 Southwood Dr, Lake Oswego, OR 97035 Phone: 503-208-4327 |