Stephanie Haugen LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

STEPHANIE HAUGEN LLC

Practice address

1904 Elm St Ste 5
Forest Grove, OR 97116-2553

Phone

(971) 405-0057

NPI assigned

Nov 28, 2023

Organization subpart

No

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

Authorized official

Name

Stephanie HaugenNPI 1528642147

Title

Owner

Phone

(971) 405-0057

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie E Haugen, CSWA

  • Mental Health Counselor
  • Forest Grove, OR
  • NPI 1528642147
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1124894415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 ELM ST STE 5",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162553",
            "telephone_number": "971-405-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 ELM ST STE 5",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162553",
            "telephone_number": "971-405-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE HAUGEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "HAUGEN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-405-0057"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Anne Sotto, L.M.T.
• Jamison Riley Soupir, OD
• Timothy Allen Speck, O.D.
• Emily Anne Sproul, MS CCC-SLP
• Paige Elise Stahle
• Sean Lincoln Steward, MD
• Valarie Joyce Stewart
• Stonebrook Family Dental, LLC
• Kennedy Caroline Suhr
• James D Surface, PHYSICAL THERAPIST

• Mental Health Clinic/Center (Including Community Mental Health Center) in Forest Grove, OR
• Providers in Forest Grove, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.