Active NPI
Lifesteps NW, Inc.
- Community/Behavioral Health Agency
- Tigard, OR
National Provider Identifier
1568647899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- C2283
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.