Organization Active NPI

Mental Health NW LLC

  • Mental Health Counselor
  • Lake Oswego, OR
National Provider Identifier
1699693093
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MENTAL HEALTH NW LLC
Practice address
4800 Meadows Rd # 317
Lake Oswego, OR 97035-4264
Phone
(503) 208-5713
Fax
(971) 307-2021
NPI assigned
Jul 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Sophie Stach
Title
Owner
Phone
(503) 208-5713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4800 Meadows Rd # 317
Lake Oswego, OR 97035-4264

Mailing address

4800 Meadows Rd # 317
Lake Oswego, OR 97035-4264
Phone (503) 208-5713

National Provider Directory

National Provider Directory

Locations

4800 Meadows Rd
#317
Lake Oswego, OR 97035

NPI Registry JSON

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

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1699693093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 MEADOWS RD # 317",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354264",
            "telephone_number": "503-208-5713",
            "fax_number": "971-307-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 MEADOWS RD # 317",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354264",
            "telephone_number": "503-208-5713",
            "fax_number": "971-307-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH NW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "STACH",
        "authorized_official_first_name": "SOPHIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-208-5713"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.