Active NPI
Stefanie A Dean, LPC, NCC
- Professional Counselor
- Salem, OR
National Provider Identifier
1144598525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C3144
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500757950 | Medicaid | OR |
Other names 1
- Miss Stefanie A Beck
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 |
|---|---|---|---|
| C3144 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Oregon Counseling LLC | Professional | Past | 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.