Individual provider Active NPI

Stephanie Garneaux, LPC, LCPC, LMHC

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1417358524
Registry record updated Feb 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C5377 Issued in OR
Practice address
5933 NE Win Sivers Dr Ste 238
Portland, OR 97220-9093
Phone
(971) 291-0579
Fax
(503) 296-2421
NPI assigned
Sep 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C5377 OR Primary
Professional Counselor 101YP2500X CP5234-R NV
Professional Counselor 101YP2500X 2561878 ID
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X C5377 OR

Addresses

Primary practice location

5933 NE Win Sivers Dr Ste 238
Portland, OR 97220-9093

Mailing address

1336 NW Flanders St # 397
Portland, OR 97209-2645
Phone (971) 291-0579

Other practice location 1

110 E Columbia River Hwy Ste 165
Troutdale, OR 97060-2067
Phone (971) 291-0579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240222003051 OR Practitioner - Mental Health Counselor 7113361627 Practice locations: Portland, OR; Troutdale, OR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C5377ORMDMental Health Counselor
2561878IDMDProfessional Counselor
CP5234-RNVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cascadia Health Past Accepting new patients
Cascadia Health Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771718400000",
    "number": "1417358524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 NW FLANDERS ST # 397",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092645",
            "telephone_number": "971-291-0579",
            "fax_number": "503-296-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5933 NE WIN SIVERS DR STE 238",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972209093",
            "telephone_number": "971-291-0579",
            "fax_number": "503-296-2421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 E Columbia River Hwy Ste 165",
            "address_purpose": "LOCATION",
            "city": "Troutdale",
            "state": "OR",
            "postal_code": "970602067",
            "country_code": "US",
            "telephone_number": "971-291-0579",
            "fax_number": "503-296-2421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARNEAUX",
        "first_name": "STEPHANIE",
        "credential": "LPC, LCPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2026-02-22",
        "certification_date": "2026-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C5377",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP5234-R",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "2561878",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C5377",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.