Individual provider Active NPI

Darlene Marie Stimson, LMFT

  • Marriage & Family Therapist
  • Salem, OR
National Provider Identifier
1801206834
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T1658 Issued in OR
Practice address
4400 Salem Dallas Hwy NW
Salem, OR 97304-3338
Phone
(209) 769-6412
Fax
(503) 990-6828
NPI assigned
Apr 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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 T1658 OR Primary

Addresses

Primary practice location

4400 Salem Dallas Hwy NW
Salem, OR 97304-3338

Mailing address

4400 Salem Dallas Hwy NW
Salem, OR 97304-3338
Phone (209) 769-6412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260330003891 OR Practitioner - Mental Health Counselor 9436634243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7515 Falcon Crest Dr
Suite 200
Redmond, OR 97756-5014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T1658ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stimson Counseling, Inc Marriage & Family Therapist Current Accepting new patients

Locations

4400 Salem Dallas Hwy NW
Salem, OR 97304
Phone (503) 208-6425

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": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1801206834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 SALEM DALLAS HWY NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043338",
            "telephone_number": "209-769-6412",
            "fax_number": "503-990-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 SALEM DALLAS HWY NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043338",
            "telephone_number": "209-769-6412",
            "fax_number": "503-990-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIMSON",
        "first_name": "DARLENE",
        "middle_name": "MARIE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.