Individual provider Active NPI

Stuart Malkin, LPC

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1124736905
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C5940 Issued in OR
Practice address
6901 SE Lake Rd Ste 27
Portland, OR 97267-2195
Phone
(971) 266-1693
Fax
(971) 229-8646
NPI assigned
Nov 9, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C5940 OR Primary

Addresses

Primary practice location

6901 SE Lake Rd Ste 27
Portland, OR 97267-2195

Mailing address

6901 S.E. Lake Rd
Suite 27
Milwaukie, OR 97267
Phone (971) 266-1693

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
C5940ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stuart Malkin Counseling CurrentSince Oct 29, 2023 Accepting new patients
Clear Heart, LLC Mental Health Current Accepting new patients

Locations

6901 SE Lake Rd
Ste 27
Portland, OR 97267
Phone (503) 358-6743

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.

NPI Registry JSON

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1124736905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 S.E. LAKE RD",
            "address_2": "SUITE 27",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "97267",
            "telephone_number": "971-266-1693",
            "fax_number": "971-229-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 SE LAKE RD STE 27",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972672195",
            "telephone_number": "971-266-1693",
            "fax_number": "971-229-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKIN",
        "first_name": "STUART",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-09",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C5940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.

Verify at the official NPI Registry.