Sean Stradley, LPC CADC III

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C5136 Issued in OR

Practice address

593 NW York Dr
Bend, OR 97703-7264

Phone

(541) 728-3325

NPI assigned

Apr 23, 2014

Last updated

Oct 16, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1386064764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977560002",
            "telephone_number": "503-729-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 NW YORK DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037264",
            "telephone_number": "541-728-3325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 SE Cleveland Ave # A",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977021564",
            "country_code": "US",
            "telephone_number": "503-729-0777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1655 SW Highland Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "OR",
            "postal_code": "97756",
            "country_code": "US",
            "telephone_number": "503-729-0777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1655 SW Highland Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "OR",
            "postal_code": "97756",
            "country_code": "US",
            "telephone_number": "503-729-0777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1011 SW Emkay Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977023162",
            "country_code": "US",
            "telephone_number": "541-323-3477",
            "fax_number": "541-323-3478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRADLEY",
        "first_name": "SEAN",
        "name_prefix": "Mr.",
        "credential": "LPC CADC III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "16-06-25",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60484457",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C5136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500720796",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Damon C Stout, PA-S
• John J Stout
• Maya Stout
• Nikki Stout
• Kimberly Stovall
• James J. Stragand, M.D.
• Brian Straly
• Caroline Stratton, M.S.
• Kristin Ashley Stratton, M.D.
• Cinda Michele Strauch, LMT

• Professional Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.

Verify at the official NPI Registry.