Active NPI
Linda Marie Stenberg, MS, LPC
- Mental Health Counselor
- Wilsonville, OR
National Provider Identifier
1255571634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C1220
- Practice address
- 8855 SW Holly LN Ste 131
Wilsonville, OR 97070-8793 - Phone
- (503) 673-6900
- NPI assigned
- Feb 25, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | C1220 | OR | Primary |
Addresses
Primary practice location
8855 SW Holly LN Ste 131
Wilsonville, OR 97070-8793
Mailing address
27751 S Klinger Rd
Canby, OR 97013-9344
Phone (503) 266-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500765132 | Medicaid | OR |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1220 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1255571634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27751 S KLINGER RD",
"city": "CANBY",
"state": "OR",
"postal_code": "970139344",
"telephone_number": "503-266-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8855 SW HOLLY LN STE 131",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970708793",
"telephone_number": "503-673-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STENBERG",
"first_name": "LINDA",
"middle_name": "MARIE",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-25",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C1220",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500765132",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilsonville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.