Stargazer Therapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

STARGAZER THERAPY LLC

Practice address

7256 SE Dot St
Adair Village, OR 97330-6573

Phone

(503) 877-2358

NPI assigned

Dec 1, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Jo Sheridan, LCSWNPI 1407119134

Title

Owner/Operator

Phone

(503) 877-2358

Specialties & licenses 1

Addresses

Practitioners 1

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

• Elizabeth Jo Sheridan, QMHP

  • Mental Health Counselor
  • Corvallis, OR
  • NPI 1407119134
  NPD Authorized official

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1235905027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 NE STUCKI AVE STE 308",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7256 SE DOT ST",
            "city": "ADAIR VILLAGE",
            "state": "OR",
            "postal_code": "973306573",
            "telephone_number": "503-877-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARGAZER THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "SHERIDAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "503-877-2358",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer Grady Byrd
• Joseph Leykam Consulting LLC
• Sharon D. Sielschott, LPC
• Joyce Leann Yock, RN

• Community/Behavioral Health Agency in Adair Village, OR
• Providers in Adair Village, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.