Jennifer Stickley, QMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

QMHP Issued in OR

Practice address

5411 NE 107TH Ave Ste 101
Vancouver, WA 98662-6347

Phone

(360) 828-7871

NPI assigned

Nov 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1700543303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 NE 107TH AVE STE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626347",
            "telephone_number": "360-828-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 NE 107TH AVE STE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626347",
            "telephone_number": "360-828-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICKLEY",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "QMHP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marla Jean Stewart, LMP
• Lynn Steyaert, MS
• Peter C Stich, MD
• Caitlin Riley Stichter
• James Charles Bradley Stickles, PTA
• Andre L Stickney, AAC
• Hillary Chisholm Stiefel, M.D.
• Hattie Marie Stigum
• Donna Rae Stiles
• Still Point Massage and Wellness Studio, LLC

• Mental Health Counselor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.