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Sadie A Campbell , PSS, QMHA-I

Peer Specialist β€’ Gresham, OR

Active NPI 1538517420 Individual Practitioner Female Practitioner
Practice location in NPPES

620 Ne 2nd St
Gresham, OR 97030

Call 9712743757 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

620 Ne 2nd St

Gresham, OR 97030

Telephone 9712743757
Fax 5039125740
Organization at the Same NPPES Address or Phone
Native American Rehabilitation Assoc Inc Facility NPI 1942747761

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Portland, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Gresham and Oregon

42 active clinicians are listed under Peer Specialist with a practice address in Gresham, OR (3,355 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gresham

0% of these 42 clinicians have the CMS telehealth indicator.

0% of these 42 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES OR THW000001573

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES OR 19-QMHA-I-00637
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
500747179 (OR)
Medicaid ID
500733945 (OR)

Secondary Practice Locations

1631 Sw Columbia St

Portland, OR 972016025

Phone: 5032312641

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Amy Berg , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1205204799

Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

18 Historical Events
πŸ‘€
Provider Name / Credentials Updated May 07, 2019

Recorded as SADIE CAMPBELL, PSS/QMHA-I

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2019

Counselor (license number reported to NPPES: OR 19-QMHA-I-00637)

πŸ‘€
Provider Name / Credentials Updated March 21, 2019

Recorded as SADIE CAMPBELL, CRM/QMHA-I

πŸ“
Updated Practice Location June 29, 2018

Registered at 620 NE 2ND ST, GRESHAM, OR 97030 (Tel: 9712743757)

πŸ‘€
Provider Name / Credentials Updated June 29, 2018

Recorded as SADIE CAMPBELL, CRM/QMHA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2018

Counselor (license number reported to NPPES: OR 16-CRM-215)

πŸ“
Updated Practice Location March 17, 2018

Registered at 620 NE 2ND ST, GRESHAM, OR 970307514 (Tel: 9712743757)

πŸ“
Updated Business Mailing Address March 17, 2018

Registered at 1776 SW MADISON ST, PORTLAND, OR 972051715 (Tel: 5032241044)

πŸ‘€
Provider Name / Credentials Updated March 17, 2018

Recorded as SADIE CAMPBELL, CRM

πŸ“
Updated Practice Location February 14, 2018

Registered at 620 NE 2ND ST, GRESHAM, OR 970307514 (Tel: 9712743757)

πŸ“
Updated Business Mailing Address February 14, 2018

Registered at 1776 SW MADISON ST, PORTLAND, OR 972051715 (Tel: 5032241044)

πŸ‘€
Provider Name / Credentials Updated February 14, 2018

Recorded as SADIE CAMPBELL, CRM

βœ…
NPI Profile Active June 01, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 01, 2016

Registered at 1631 SW COLUMBIA ST, PORTLAND, OR 972016025 (Tel: 5032312641)

πŸ“
Business Mailing Address (Initial Record) June 01, 2016

Registered at 1631 SW COLUMBIA ST, PORTLAND, OR 972016025 (Tel: 5032312641)

πŸ‘€
Provider Name / Credentials (Initial Record) June 01, 2016

Recorded as SADIE CAMPBELL

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2016

Counselor

🟒
Initial NPI Registration & Enumeration June 01, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1538517420
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2016
Last Update: August 16, 2019
Sole Proprietor: No

Mailing Address

1776 Sw Madison St

Portland, OR 972051715

Phone: 5032241044

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.