Individual provider Active NPI

Rachel Stein

  • Mental Health Counselor
  • Tigard, OR
National Provider Identifier
1619576998
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
12064 SW Garden PL
Tigard, OR 97223-8263
Phone
(503) 382-8288
Fax
(503) 382-8289
NPI assigned
Oct 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

12064 SW Garden PL
Tigard, OR 97223-8263

Mailing address

12064 SW Garden PL
Tigard, OR 97223-8263
Phone (503) 382-8288

Other identifiers 1

IdentifierTypeStateIssuer
500786687MedicaidOR

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

Practice roles

OrganizationSpecialtyStatusNew patients
Namu Roots Counseling LLC Mental Health CurrentSince Feb 23, 2025 Accepting new patients
Alliance Counseling Center, Inc Mental Health PastSince Jul 26, 2024 Accepting new patients
Skyhook Counseling Center LLC PastSince Jun 1, 2021 Accepting new patients

Locations

12064 SW Garden Pl
Tigard, OR 97223
Phone (503) 382-8288

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": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1619576998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12064 SW GARDEN PL",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238263",
            "telephone_number": "503-382-8288",
            "fax_number": "503-382-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12064 SW GARDEN PL",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238263",
            "telephone_number": "503-382-8288",
            "fax_number": "503-382-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500786687",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.