Organization Active NPI

Stages Counseling LLC

  • Mental Health Counselor
  • Salem, OR
National Provider Identifier
1023395084
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
L3040 Issued in OR
Legal business name
STAGES COUNSELING LLC
Practice address
2659 Commercial St SE.
Suite 200
Salem, OR 97302-4496
Phone
(503) 581-0657
Fax
(503) 581-4025
NPI assigned
Nov 4, 2011
Last updated
Feb 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Fiona Stephanie Standen, LCSWNPI 1164640181
Title
Owner
Phone
(503) 581-0657

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X L3040 OR Primary

Addresses

Primary practice location

2659 Commercial St SE.
Suite 200
Salem, OR 97302-4496

Mailing address

2659 Commercial St SE
Suite 200
Salem, OR 97302-4496
Phone (503) 581-0657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120301000186 OR Part B Supplier - Clinic/Group Practice 1052579513 Receives reassigned benefits from 1 practitioner
Practice locations: Albany, OR; Salem, OR

National Provider Directory

National Provider Directory

Locations

7101 Supra Dr SW
Ste D
Albany, OR 97321
Phone (503) 581-0657

2697 12th Pl SE
Salem, OR 97302
Phone (503) 378-0206

2985 River Rd S
Salem, OR 97302
Phone (503) 365-3038

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1023395084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2659 COMMERCIAL ST SE",
            "address_2": "SUITE 200",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024496",
            "telephone_number": "503-581-0657",
            "fax_number": "503-581-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 COMMERCIAL ST SE.",
            "address_2": "SUITE 200",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024496",
            "telephone_number": "503-581-0657",
            "fax_number": "503-581-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAGES COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "STANDEN",
        "authorized_official_first_name": "FIONA",
        "authorized_official_middle_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-581-0657",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "L3040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.