Active NPI
Stephanie Frances Winn, LMFT
- Marriage & Family Therapist
- Portland, OR
National Provider Identifier
1679903165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T1201
- Practice address
- 325 NW 21St Ave Ste 103
Portland, OR 97209-1179 - Phone
- (503) 468-6242
- Fax
- (971) 266-2846
- NPI assigned
- Nov 19, 2013
- Last updated
- Jul 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | T1201 | OR | Primary |
Addresses
Primary practice location
325 NW 21St Ave Ste 103
Portland, OR 97209-1179
Mailing address
325 NW 21St Ave Ste 103
Portland, OR 97209-1179
Phone (503) 468-6242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500700164 | Medicaid | OR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| T1201 | OR | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657756800000",
"number": "1679903165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 NW 21ST AVE STE 103",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972091179",
"telephone_number": "503-468-6242",
"fax_number": "971-266-2846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 NW 21ST AVE STE 103",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972091179",
"telephone_number": "503-468-6242",
"fax_number": "971-266-2846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINN",
"first_name": "STEPHANIE",
"middle_name": "FRANCES",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-19",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T1201",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500700164",
"state": "OR"
}
],
"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 Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.