Individual provider Active NPI

Jeffrey William Stambook, MFT

  • Marriage & Family Therapist
  • Klamath Falls, OR
National Provider Identifier
1619008943
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T2065 Issued in OR
Practice address
2074 S 6TH St
Klamath Falls, OR 97601-3372
Phone
(541) 851-8110
Fax
(541) 851-8114
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 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 MFC43897 CA
Marriage & Family Therapist 106H00000X T2065 OR Primary

Addresses

Primary practice location

2074 S 6TH St
Klamath Falls, OR 97601-3372

Mailing address

2074 S 6TH St
Klamath Falls, OR 97601-3372
Phone (541) 841-8110

Other practice location 1

300 Jamaica Way
Bakersfield, CA 93309-2307
Phone (661) 706-7285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251113004105 OR Practitioner - Marriage and Family Therapist 8820589260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Klamath Health Partnership IncGroup PAC ID 2264334051, 22 clinicians

Practice addresses (Care Compare)

2074 S 6TH St
Klamath Falls, OR 97601-3372
Phone (541) 880-2011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC43897CAMDMarriage & Family Therapist
T2065ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Klamath Health Partnership Inc CurrentSince Aug 21, 2025 Accepting new patients
Glenn Medical Center, LLC Past Accepting new patients
Mood Clinical, P. C. PastSince Jun 15, 2021 Accepting new patients

Locations

2074 S 6th St
Klamath Falls, OR 97601
Phone (541) 851-8110

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1619008943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 S 6TH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976013372",
            "telephone_number": "541-841-8110",
            "fax_number": "541-851-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 S 6TH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976013372",
            "telephone_number": "541-851-8110",
            "fax_number": "541-851-8114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Jamaica Way",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933092307",
            "country_code": "US",
            "telephone_number": "661-706-7285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAMBOOK",
        "first_name": "JEFFREY",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC43897",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T2065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

Verify at the official NPI Registry.