Active NPI
Crissandra Marie Stephen
- Mental Health Counselor
- Salem, OR
National Provider Identifier
1083103816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- T2446
- Practice address
- 280 Liberty St SE Ste 206
Salem, OR 97301-3554 - Phone
- (971) 757-6640
- NPI assigned
- May 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | T2446 | OR | Primary |
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
280 Liberty St SE Ste 206
Salem, OR 97301-3554
Mailing address
280 Liberty St SE Ste 206
Salem, OR 97301-3554
Phone (971) 757-6640
Other practice location 1
1650 SW 45th Pl
Corvallis, OR 97333-1768
Phone (541) 757-8068
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 |
|---|---|---|---|
| T2446 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Willamette Family and Individual Therapy Services LLC | Mental Health | Current | Accepting new patients |
| Old Mill Center for Children and Families | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Salem, OR
- NPI 1730946542
-
- Adolescent and Children Mental Health Clinic/Center
- Corvallis, OR
- NPI 1285719195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1083103816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 LIBERTY ST SE STE 206",
"city": "SALEM",
"state": "OR",
"postal_code": "973013554",
"telephone_number": "971-757-6640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 LIBERTY ST SE STE 206",
"city": "SALEM",
"state": "OR",
"postal_code": "973013554",
"telephone_number": "971-757-6640"
}
],
"practiceLocations": [
{
"address_1": "1650 SW 45th Pl",
"address_purpose": "LOCATION",
"city": "Corvallis",
"state": "OR",
"postal_code": "973331768",
"country_code": "US",
"telephone_number": "541-757-8068",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEPHEN",
"first_name": "CRISSANDRA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-07",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "T2446",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"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 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.