SITARA PENDYALA
Counselor (Mental Health)

Address: 1132 Sw 13th Ave, Portland, OR 97205-1703

SITARA PENDYALA (NPI# 1568057578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568057578
Entity Type Individual
Full Name SITARA PENDYALA
Gender Female
Practice Address 1132 Sw 13th Ave
Portland
OR 97205-1703
Practice Telephone 4083073331
Mailing Address 1132 Sw 13th Ave
Portland
OR 97205-1703
Certification Date 2021-03-02
Enumeration Date 2021-03-02
Last Update Date 2021-03-02
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 1132 SW 13TH AVE
City PORTLAND
State OR
Zip Code 97205-1703

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144814492 Emma Rose Cooper Peer Specialist 1132 Sw 13th Ave, Portland, OR 97205-1703 2021-02-26
1275159048 Kathleen L Walker Registered Nurse 1132 Sw 13th Ave, Portland, OR 97205-1703 2020-06-17
1740843820 Sydney Lynn Rohrs Peer Specialist 1132 Sw 13th Ave, Portland, OR 97205-1703 2019-04-15
1447710959 Alexander James Thixton Peer Specialist 1132 Sw 13th Ave, Portland, OR 97205-1703 2019-03-21
1760940498 Lindsey Lee Sipos Registered Nurse · Case Management 1132 Sw 13th Ave, Portland, OR 97205-1703 2019-03-12
1033689153 Mary Elizabeth Leone Nurse Practitioner · Family 1132 Sw 13th Ave, Portland, OR 97205-1703 2018-12-01
1790254043 Claire Adler Richmond Anderson Case Manager/Care Coordinator 1132 Sw 13th Ave, Portland, OR 97205-1703 2018-11-15
1891271300 Sylvia Marie Coker Registered Nurse 1132 Sw 13th Ave, Portland, OR 97205-1703 2018-07-17
1164908182 Kathleen B O'Boyle Registered Nurse · Case Management 1132 Sw 13th Ave, Portland, OR 97205-1703 2018-07-12
1811404353 Outside In Clinic/Center · Federally Qualified Health Center (FQHC) 1132 Sw 13th Ave, Portland, OR 97205-1703 2018-01-05
Find all providers in the same address

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1952906778 Synaptic Integrative Care LLC Naturopath 1020 Sw Taylor St. Ste 650, Portland, OR 97205 2020-12-01
1427533645 Christopher J Pullen Physical Therapist 1630 Sw Morrison St Ste 100, Portland, OR 97205 2018-10-03
1730682162 Jennifer Johansen Massage Therapist 1201 Sw 12th Ave, Suite 600, Portland, OR 97205 2018-03-12
1518496074 Elizabeth Mae Keplinger Massage Therapist 914 Sw 11th Ave, Portland, OR 97205 2017-06-08
1871026062 Leila Soltani Dentist · Periodontics 430 Sw 13th Ave Apt 2010, Portland, OR 97205 2017-04-05
1811438138 Michelle Lena Thieme Physical Therapist 1630 Sw Morrison St Ste 100, Portland, OR 97205 2017-03-20
1710337464 Genevieve Fullerton Dash Counselor · Mental Health 1312 Sw Washington, Portland, OR 97205 2016-06-14
1114374949 Elizabeth Alire Student in an Organized Health Care Education/Training Program 1411 Sw Morrison St., Portland, OR 97205 2016-05-23
1881049922 Haley Faye Lafleur Physical Therapist · Sports 909 Sw 18th Ave, Portland, OR 97205 2016-04-26
1487015871 Lionel Perry Counselor · Addiction (Substance Use Disorder) 324 Nw Davis, Portland, OR 97205 2016-03-11
Find all providers in zip 97205

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871188383 Laina Yoswein 9330 Se Harold St, Portland, OR 97266-4637 2021-03-05
1629663679 Karla Martinez 9320 Sw Barbur Blvd Ste 200, Portland, OR 97219-5499 2021-03-02
1912591603 Shared Space Counseling LLC 9 Houlton St, Portland, ME 04102-3410 2021-02-24
1356935134 Jennifer Ann Maret 17720 Ne Halsey St Ste A, Portland, OR 97230-6771 2021-02-23
1992399695 Delante Asim Moxley 9320 Sw Barbur Blvd Ste 200, Portland, OR 97219-5499 2021-02-23
1306430236 Claire Hester 200 Se 7th Ave, Portland, OR 97214-1200 2021-02-22
1922692995 Mindtree Holistic Counseling & Wellness Center LLC 5440 Sw Westgate Dr Ste 210, Portland, OR 97221-2418 2021-02-21
1174116693 Andrea Dawn Davenport 9320 Sw Barbur Blvd Ste 200, Portland, OR 97219-5499 2021-02-16
1760075246 Aimee Renee Peterson 17710 Ne Halsey St, Portland, OR 97230-6734 2021-02-16
1417540071 Parenting With Connection LLC 1704 Se 22nd Ave, Portland, OR 97214-4848 2021-02-15
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.