Active NPI
Barbara S Stott, LPC, NCC, DCC
- Counselor
- Bend, OR
National Provider Identifier
1487986410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C2109
- Practice address
- 21218 Darby CT
Bend, OR 97702-9582 - Phone
- (541) 318-7492
- NPI assigned
- Feb 1, 2010
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | C2109 | OR | Primary |
| Counselor | 101Y00000X | 0701002235 | VA |
Addresses
Primary practice location
21218 Darby CT
Bend, OR 97702-9582
Mailing address
21218 Darby CT
Bend, OR 97702-9582
Phone (541) 318-7492
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2109 | OR | MD | Counselor |
| 0701002235 | VA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264982400000",
"number": "1487986410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21218 DARBY CT",
"city": "BEND",
"state": "OR",
"postal_code": "977029582",
"telephone_number": "541-318-7492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21218 DARBY CT",
"city": "BEND",
"state": "OR",
"postal_code": "977029582",
"telephone_number": "541-318-7492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOTT",
"first_name": "BARBARA",
"middle_name": "S",
"credential": "LPC, NCC, DCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-01",
"last_updated": "2010-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OR",
"license": "C2109",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "0701002235",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.