Individual provider Active NPI

Stasia Marie Farr

  • Mental Health Counselor
  • Pendleton, OR
National Provider Identifier
1598436628
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
24-10-11281 Issued in OR
Practice address
200 SE Hailey Ave Ste 204
Pendleton, OR 97801-3072
Phone
(541) 663-4104
Fax
(541) 663-4142
NPI assigned
Sep 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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 24-10-11281 OR Primary
Peer Specialist 175T00000X 21-CRM-601 OR

Addresses

Primary practice location

200 SE Hailey Ave Ste 204
Pendleton, OR 97801-3072

Mailing address

PO Box 882
Pendleton, OR 97801-0882
Phone (541) 663-4104

Other identifiers 1

IdentifierTypeStateIssuer
500798450MedicaidOR

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
21-CRM-601ORMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling Solutions Mental Health PastSince Oct 5, 2021 Accepting new patients
Oregon Washington Health Network Mental Health PastSince Jan 19, 2020 Accepting new patients
Oregon Washington Health Network- Centro Copes Past Accepting new patients

Organizations & group practices 3

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": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1598436628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 882",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978010882",
            "telephone_number": "541-663-4104",
            "fax_number": "541-663-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SE HAILEY AVE STE 204",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013072",
            "telephone_number": "541-663-4104",
            "fax_number": "541-663-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARR",
        "first_name": "STASIA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "24-10-11281",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "21-CRM-601",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500798450",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, OR

Sources for this page

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