Stefani Skidmore, MA, LPC-INTERN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R5603 Issued in OR

Practice address

10700 SW Beaverton Hillsdale Hwy Ste 560
Beaverton, OR 97005-4791

Phone

(541) 631-8251

NPI assigned

Jan 27, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1306437918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 NE 14TH AVE APT 621",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323570",
            "telephone_number": "541-631-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 SW BEAVERTON HILLSDALE HWY STE 560",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054791",
            "telephone_number": "541-631-8251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2023 NW Hoyt St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972091298",
            "country_code": "US",
            "telephone_number": "503-226-3021 x1271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKIDMORE",
        "first_name": "STEFANI",
        "credential": "MA, LPC-INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R5603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forrest Guy Sippey, MSW, CDP, CADCII
• Elijah Siron
• Sisters of St. Mary of Oregon Maryville Corporation (Maryville Nursing Home)
• Ashleigh Sizemore
• Delanie Sizemore
• Jonathan Sklar, M.S.
• Ruth Ann Skodacek, LCSW,QMHP,CADC
• Tyler Douglas Skordal
• Sarah Therese Jones Slama, DPT
• Rochelle Slane

• Mental Health Counselor in Beaverton, OR
• Providers in Beaverton, 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 Jan 27, 2021; 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.