Individual provider Active NPI

Stefanie A Dean, LPC, NCC

  • Professional Counselor
  • Salem, OR
National Provider Identifier
1144598525
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C3144 Issued in OR
Practice address
4744 Liberty Rd S Ste 220
Salem, OR 97302
Phone
(541) 200-5046
Fax
(503) 385-8505
NPI assigned
Dec 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Pastoral Counselor 101YP1600X
Professional Counselor 101YP2500X C3144 OR Primary

Addresses

Primary practice location

4744 Liberty Rd S Ste 220
Salem, OR 97302

Mailing address

4744 Liberty Rd S Ste 220
Salem, OR 97302-5183
Phone (541) 200-5046

Other practice location 1

4744 Liberty Rd S Ste 220
Salem, OR 97302
Phone (541) 200-5046

Other identifiers 1

IdentifierTypeStateIssuer
500757950MedicaidOR

Other names 1

  • Miss Stefanie A Beck Former name

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
C3144ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Oregon Counseling LLC Professional PastSince Oct 27, 2019 Accepting new patients

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": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1144598525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4744 LIBERTY RD S STE 220",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025183",
            "telephone_number": "541-200-5046",
            "fax_number": "503-385-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4744 LIBERTY RD S STE 220",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97302",
            "telephone_number": "541-200-5046",
            "fax_number": "503-385-8505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4744 Liberty Rd S Ste 220",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "97302",
            "country_code": "US",
            "telephone_number": "541-200-5046",
            "fax_number": "503-385-8505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAN",
        "first_name": "STEFANIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C3144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500757950",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANIE",
            "last_name": "BECK",
            "middle_name": "A",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Apr 22, 2019; 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.