Individual provider Active NPI

Anna Christine Stuck

  • Mental Health Counselor
  • McMinnville, OR
National Provider Identifier
1558069195
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
107 NE Irvine St
McMinnville, OR 97128-4419
Phone
(503) 440-0799
NPI assigned
Feb 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

107 NE Irvine St
McMinnville, OR 97128-4419

Mailing address

550 E Main St
Yamhill, OR 97148-8632
Phone (503) 440-0799

Other practice location 1

550 E Main St
Yamhill, OR 97148-8632
Phone (503) 440-0799

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

NPI Registry JSON

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1558069195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E MAIN ST",
            "city": "YAMHILL",
            "state": "OR",
            "postal_code": "971488632",
            "telephone_number": "503-440-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 NE IRVINE ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284419",
            "telephone_number": "503-440-0799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 E Main St",
            "address_purpose": "LOCATION",
            "city": "Yamhill",
            "state": "OR",
            "postal_code": "971488632",
            "country_code": "US",
            "telephone_number": "503-440-0799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUCK",
        "first_name": "ANNA",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.