Individual provider Active NPI

Stephanie Beth Halvorsen Guercio, LMFT, SUDP

  • Marriage & Family Therapist
  • Port Angeles, WA
National Provider Identifier
1598297442
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MG 60662044 Issued in WA
Practice address
496 Gellor Rd
Port Angeles, WA 98362-9250
Phone
(360) 333-4209
NPI assigned
Mar 30, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MG 60662044 WA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP 60662076 WA

Addresses

Primary practice location

496 Gellor Rd
Port Angeles, WA 98362-9250

Mailing address

1912 W 18TH St
Port Angeles, WA 98363-5121
Phone (360) 565-2648

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
CP 60662076WAMDAddiction (Substance Use Disorder) Counselor
MG 60662044WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clallam County Juvenile and Family Services Past Accepting new patients

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": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1598297442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 W 18TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983635121",
            "telephone_number": "360-565-2648",
            "fax_number": "360-457-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 GELLOR RD",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983629250",
            "telephone_number": "360-333-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERCIO",
        "first_name": "STEPHANIE",
        "middle_name": "BETH HALVORSEN",
        "name_prefix": "Mrs.",
        "credential": "LMFT, SUDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG 60662044",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP 60662076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.