Organization Active NPI

Stone & Stem Psychotherapy, LLC

  • Clinical Social Worker
  • Redmond, OR
National Provider Identifier
1538081062
Registry record updated Sep 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
STONE & STEM PSYCHOTHERAPY, LLC
Practice address
2152 SW 25TH St
Redmond, OR 97756-9089
Phone
(541) 208-5373
NPI assigned
Jul 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2026

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

Authorized official

Name
Polly Reisig, LCSW
Title
Owner
Phone
(541) 208-5373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2152 SW 25TH St
Redmond, OR 97756-9089

Mailing address

2152 SW 25TH St
Redmond, OR 97756-9089
Phone (541) 208-5373

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789862400000",
    "number": "1538081062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 SW 25TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977569089",
            "telephone_number": "541-208-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 SW 25TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977569089",
            "telephone_number": "541-208-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE & STEM PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-09-20",
        "certification_date": "2026-09-20",
        "status": "A",
        "authorized_official_last_name": "REISIG",
        "authorized_official_first_name": "POLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-208-5373",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2026; 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.