Jean M Stark, MS, NCC, LPCI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R3248 Issued in OR

Practice address

73265 Confederated Way
Pendleton, OR 97801

Phone

(541) 966-9830

NPI assigned

Mar 25, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Yellowhawk Tribal Health Center

  • Clinic/Center
  • Pendleton, OR
  • NPI 1346283488
  NPD (past)
• Assured Imaging Womens Wellness of Washington, LLC

  • Diagnostic Radiology Physician
  • Tukwila, WA
  • NPI 1588982060
  NPD (past)

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1285051474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1381",
            "address_2": "69705 LAKE DRIVE",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977591381",
            "telephone_number": "541-815-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73265 CONFEDERATED WAY",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "97801",
            "telephone_number": "541-966-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "JEAN",
        "middle_name": "M",
        "credential": "MS, NCC, LPCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "R3248",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R3248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Nichole Stahl, RN
• Clifford Brian Stanger
• Jacintha Pandora Stanley
• April D Stansbury, DPT
• Victoria Lee Star, BSSW
• Kathleen E Stein, DO
• Jenna Stensrud
• Steven L. Neal, MD, Facs, Inc.
• Jennah Shae Stobie, PA-C
• Stonewall Behavioral Health

• Mental Health Counselor in Pendleton, OR
• Providers in Pendleton, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.