Individual provider Active NPI

Stephanie Linda Becker, LCSW

  • Mental Health Counselor
  • Hood River, OR
National Provider Identifier
1619159563
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7857 Issued in OR
Practice address
1669 Markham Rd
Hood River, OR 97031-9663
Phone
(949) 954-7202
Fax
(503) 486-3365
NPI assigned
Dec 3, 2007
Last updated
May 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X LCSW 71967 CA
Mental Health Counselor 101YM0800X 7857 OR Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

1669 Markham Rd
Hood River, OR 97031-9663

Mailing address

1669 Markham Rd
Hood River, OR 97031-9663
Phone (949) 954-7202

Other identifiers 2

IdentifierTypeStateIssuer
500760436MedicaidOR
1619159563MedicaidCA

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
I20190418002431 OR Practitioner - Clinical Social Worker 7315289402 Practice locations: Hood River, OR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW 71967CAMDMental Health Counselor
7857ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Creek Counseling Mental Health CurrentSince Oct 2, 2022 Accepting new patients
S Becker Enterprises, LLC Mental Health CurrentSince Nov 9, 2025 Accepting new patients

Locations

1113 June St
Ste 400
Hood River, OR 97031
Phone (949) 954-7202

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1619159563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 MARKHAM RD",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970319663",
            "telephone_number": "949-954-7202",
            "fax_number": "503-486-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 MARKHAM RD",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970319663",
            "telephone_number": "949-954-7202",
            "fax_number": "503-486-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "STEPHANIE",
        "middle_name": "LINDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCSW 71967",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "7857",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500760436",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619159563",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

Verify at the official NPI Registry.