Organization Active NPI

Stuart Malkin Counseling

  • Adult Mental Health Clinic/Center
  • Lake Oswego, OR
National Provider Identifier
1609391309
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
STUART MALKIN COUNSELING
Practice address
1625 Meadows Dr
Lake Oswego, OR 97034-6123
Phone
(971) 266-1693
Fax
(503) 387-3757
NPI assigned
Aug 3, 2017
Last updated
Oct 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Authorized official

Name
Stuart Malkin, MS, LPCNPI 1124736905
Title
Owner/Psychotherapist
Phone
(971) 266-1693

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X R4845 OR
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1625 Meadows Dr
Lake Oswego, OR 97034-6123

Mailing address

1625 Meadows Dr
Lake Oswego, OR 97034-6123
Phone (971) 266-1693

Other practice location 1

6901 SE Lake Rd Ste 27
Milwaukie, OR 97267-2195
Phone (971) 266-1693

Other names 1

  • Clear Heart Counseling Former legal business name

National Provider Directory

National Provider Directory

Locations

4531 SE Belmont St
Ste 319
Portland, OR 97215
Phone (503) 688-0935

6901 SE Lake Rd
Ste 27
Portland, OR 97267
Phone (971) 246-4665

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1609391309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 MEADOWS DR",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970346123",
            "telephone_number": "971-266-1693",
            "fax_number": "503-387-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MEADOWS DR",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970346123",
            "telephone_number": "971-266-1693",
            "fax_number": "503-387-3757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6901 SE Lake Rd Ste 27",
            "address_purpose": "LOCATION",
            "city": "Milwaukie",
            "state": "OR",
            "postal_code": "972672195",
            "country_code": "US",
            "telephone_number": "971-266-1693",
            "fax_number": "503-387-3757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STUART MALKIN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "MALKIN",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "971-266-1693",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OR",
            "license": "R4845",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Heart Counseling",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.