Organization Active NPI

Lifesteps NW, Inc.

  • Community/Behavioral Health Agency
  • Tigard, OR
National Provider Identifier
1568647899
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C2283 Issued in OR
Legal business name
LIFESTEPS NW, INC.
Practice address
9860 SW Hall Blvd.
Suite E
Tigard, OR 97223
Phone
(503) 290-9355
Fax
(503) 213-6067
NPI assigned
Jan 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Authorized official

Name
Stacey Elaine Kalin, LPC, LMFT, CADCII, N
Title
President
Phone
(971) 255-3276

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Community/Behavioral Health Agency 251S00000X C2283 OR Primary

Addresses

Primary practice location

9860 SW Hall Blvd.
Suite E
Tigard, OR 97223

Mailing address

9860 SW Hall Blvd.
Suite E
Tigard, OR 97223
Phone (503) 290-9355

Other names 1

  • LifeSteps Doing business as

National Provider Directory

National Provider Directory

Locations

9860 SW Hall Blvd
Ste E
Tigard, OR 97223
Phone (503) 290-9355

NPI Registry JSON

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

{
    "created_epoch": "1199577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1568647899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9860 SW HALL BLVD.",
            "address_2": "SUITE E",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "97223",
            "telephone_number": "503-290-9355",
            "fax_number": "503-213-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9860 SW HALL BLVD.",
            "address_2": "SUITE E",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "97223",
            "telephone_number": "503-290-9355",
            "fax_number": "503-213-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTEPS NW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-06",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "KALIN",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "971-255-3276",
        "authorized_official_credential": "LPC, LMFT, CADCII, N"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "C2283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeSteps",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.