Individual provider Active NPI

Daniel Stinea, LPC, CADC III

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1649688474
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C4176 Issued in OR
Practice address
4410 SE Woodstock Blvd Ste 210
Portland, OR 97206-6206
Phone
(503) 209-2392
Fax
(503) 244-7424
NPI assigned
Jul 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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 C4176 OR Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 12-09-47 OR

Addresses

Primary practice location

4410 SE Woodstock Blvd Ste 210
Portland, OR 97206-6206

Mailing address

7111 SE 63Rd Ave
Portland, OR 97206-7413
Phone (503) 209-2392

Other practice location 1

3939 NE Hancock St Ste 210
Portland, OR 97212-5321
Phone (503) 209-2392

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
C4176ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel G Stinea LLC Current Accepting new patients
Daniel G Stinea LLC Current Accepting new patients

Locations

4410 SE Woodstock Blvd
Ste 210
Portland, OR 97206
Phone (503) 209-2392

3939 NE Hancock St
Ste 210
Portland, OR 97212
Phone (503) 209-2392

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1649688474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 SE 63RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972067413",
            "telephone_number": "503-209-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 SE WOODSTOCK BLVD STE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972066206",
            "telephone_number": "503-209-2392",
            "fax_number": "503-244-7424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3939 NE Hancock St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972125321",
            "country_code": "US",
            "telephone_number": "503-209-2392",
            "fax_number": "503-244-7424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STINEA",
        "first_name": "DANIEL",
        "credential": "LPC, CADC III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-24",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4176",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "12-09-47",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; 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.