Active NPI
Crystal Stachera, LMFT
- Counselor
- Beaverton, OR
National Provider Identifier
1053558239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- T0898
- Practice address
- 6800 SW 105TH Ave Ste 101
Beaverton, OR 97008-5488 - Phone
- (971) 200-1966
- Fax
- (971) 754-4141
- NPI assigned
- Jan 9, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | T0898 | OR | |
| Counselor | 101Y00000X | T0898 | OR | Primary |
Addresses
Primary practice location
6800 SW 105TH Ave Ste 101
Beaverton, OR 97008-5488
Mailing address
6800 SW 105TH Ave Ste 101
Beaverton, OR 97008-5488
Phone (971) 200-1966
Other practice location 1
113 E Hancock St
Newberg, OR 97132-2821
Phone (971) 200-1966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500740069 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0898 | OR | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Higher Ground Counseling Inc | Counselor | Current | Accepting new patients |
Locations
6800 SW 105th Ave
Ste 101
Beaverton, OR 97008
Phone (971) 200-1966
113 E Hancock St
Newberg, OR 97132
Phone (971) 200-1966
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1053558239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 SW 105TH AVE STE 101",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970085488",
"telephone_number": "971-200-1966",
"fax_number": "971-754-4141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 SW 105TH AVE STE 101",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970085488",
"telephone_number": "971-200-1966",
"fax_number": "971-754-4141"
}
],
"practiceLocations": [
{
"address_1": "113 E Hancock St",
"address_purpose": "LOCATION",
"city": "Newberg",
"state": "OR",
"postal_code": "971322821",
"country_code": "US",
"telephone_number": "971-200-1966",
"fax_number": "971-754-4141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STACHERA",
"first_name": "CRYSTAL",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-09",
"last_updated": "2022-06-15",
"certification_date": "2022-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T0898",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OR",
"license": "T0898",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500740069",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
- Lawrence Gerald St. Amand, OTR
- Curtis Alan St. Denis, MA
- St. Mary of Bethany - the Helping Hands - in Home Care
- Stable Body Physical Therapy
- Peter Stach, DPM
- John Travis Stacy, BA
- John Clayton Stady, CHIROPRACTOR DC
- Glynis M. Stafford, MA, LPC, DBTC, NCC
- Valli Evenstar Stager, APRN-BC
- Sheila Stahl Butler, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.