Individual provider Active NPI

Kady Stafford, LPC

  • Professional Counselor
  • Redmond, OR
National Provider Identifier
1083349906
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C9084 Issued in OR
Practice address
6396 SW McVey Ave
Redmond, OR 97756-9069
Phone
(541) 203-0307
NPI assigned
Jul 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC6225 ID
Professional Counselor 101YP2500X C9084 OR Primary

Addresses

Primary practice location

6396 SW McVey Ave
Redmond, OR 97756-9069

Mailing address

13574 SW Highway 126
Powell Butte, OR 97753-1541
Phone (541) 480-6360

Other practice location 1

190 NW 4th St
Prineville, OR 97754-1820
Phone (458) 281-3153

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

LicenseStateTypeSpecialty
LPC6225IDMDProfessional Counselor
C9084ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Your True North Counseling LLC Professional CurrentSince Jan 5, 2025 Accepting new patients

Locations

190 NW 4th St
Prineville, OR 97754
Phone (541) 233-7735

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": "1658620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1083349906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13574 SW HIGHWAY 126",
            "city": "POWELL BUTTE",
            "state": "OR",
            "postal_code": "977531541",
            "telephone_number": "541-480-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6396 SW MCVEY AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977569069",
            "telephone_number": "541-203-0307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 NW 4th St",
            "address_purpose": "LOCATION",
            "city": "Prineville",
            "state": "OR",
            "postal_code": "977541820",
            "country_code": "US",
            "telephone_number": "458-281-3153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "KADY",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-24",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC6225",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C9084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.