Individual provider Active NPI

Stacia D'Anna, LPC

  • Counselor
  • Salem, OR
National Provider Identifier
1548639297
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C5616 Issued in OR
Practice address
388 State St Ste 703
Salem, OR 97301-4023
Phone
(503) 470-6976
NPI assigned
Sep 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C5616 OR
Counselor 101Y00000X C5616 OR Primary

Addresses

Primary practice location

388 State St Ste 703
Salem, OR 97301-4023

Mailing address

388 State St Ste 703
Salem, OR 97301-4023
Phone (503) 470-6976

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

LicenseStateTypeSpecialty
C5616ORMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stacia Danna Counseling LPC LLC Mental Health CurrentSince Dec 31, 2023 Accepting new patients

Locations

388 State St
Ste 703
Salem, OR 97301
Phone (503) 470-6976

Organizations & group practices 1

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": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1548639297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 STATE ST STE 703",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014023",
            "telephone_number": "503-470-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 STATE ST STE 703",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014023",
            "telephone_number": "503-470-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ANNA",
        "first_name": "STACIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C5616",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C5616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.