Individual provider Active NPI

Stephanie Giddings, MA, LMFT, ATR-BC

  • Marriage & Family Therapist
  • Keizer, OR
National Provider Identifier
1801036363
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T0992 Issued in OR
Practice address
5305 River Rd N
Keizer, OR 97303-5324
Phone
(971) 599-2251
NPI assigned
Feb 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T0992 OR Primary

Addresses

Primary practice location

5305 River Rd N
Keizer, OR 97303-5324

Mailing address

4676 Commercial St SE
Salem, OR 97302-1902
Phone (971) 599-2251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260525000016 FL Practitioner - Mental Health Counselor 6406326172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4676 Commericial St SE
PMB 227
Salem, OR 97302-1902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
T0992ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Giddings LMFT Inc Marriage & Family Therapist Current Accepting new patients

Locations

4676 Commercial St SE
Salem, OR 97302
Phone (503) 302-5386

Organizations & group practices 1

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": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1801036363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4676 COMMERCIAL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021902",
            "telephone_number": "971-599-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973035324",
            "telephone_number": "971-599-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIDDINGS",
        "first_name": "STEPHANIE",
        "credential": "MA, LMFT, ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

Verify at the official NPI Registry.