Diane L Stamper, MS, LPC
Individual provider Active NPI Mental Health Counselor · Phoenix, OR
NPI 1053661710 · NPPES record last updated Sep 10, 2012
Key facts
- NPI
- 1053661710
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- C1746 (OR)
- Practice address
- 164 Meadow View Dr
Phoenix, OR 97535-9431 - Phone
- (541) 261-5440
- NPI assigned
- Sep 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1746 | OR | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C1746 | OR | Yes |
| Professional Counselor | 101YP2500X | C1746 | OR |
Addresses
Primary practice location
164 Meadow View Dr
Phoenix, OR 97535-9431
Mailing address
164 Meadow View Dr
Phoenix, OR 97535-9431
Phone (541) 261-5440
Other providers in Phoenix, OR
- Ashley Marie Silver
- Katharine D Sluys
- Lorrie Smith
- Yesenia Solorzano
- Dirk William Stafford
- Gary M Stephens
- Angela Stiles
- Morgan Nicole Stoneway
- Desiree Thompson
- Thrifty Payless Inc
All providers in Phoenix, OR · Mental Health Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.