Organization Active NPI

Sellwood Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, OR
National Provider Identifier
1841618253
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
3138 Issued in OR
Legal business name
SELLWOOD COUNSELING SERVICES
Practice address
6637 SE Milwaukie Ave
Ste. 204
Portland, OR 97202-5658
Phone
(503) 851-4032
Fax
(503) 254-9555
NPI assigned
Apr 2, 2014
Last updated
Apr 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Ms. Laura Kathryn Stahman, M.A., L.P.C.
Title
Licensed Profession Counselor
Phone
(503) 851-4032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 3138 OR Primary

Addresses

Primary practice location

6637 SE Milwaukie Ave
Ste. 204
Portland, OR 97202-5658

Mailing address

6637 SE Milwaukie Ave
Ste. 204
Portland, OR 97202-5658
Phone (503) 851-4032

National Provider Directory

National Provider Directory

Locations

6637 SE Milwaukie Ave
Ste 204
Portland, OR 97202
Phone (503) 851-4032

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1841618253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6637 SE MILWAUKIE AVE",
            "address_2": "STE. 204",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025658",
            "telephone_number": "503-851-4032",
            "fax_number": "503-254-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6637 SE MILWAUKIE AVE",
            "address_2": "STE. 204",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025658",
            "telephone_number": "503-851-4032",
            "fax_number": "503-254-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELLWOOD COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "STAHMAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "LICENSED PROFESSION COUNSELOR",
        "authorized_official_telephone_number": "503-851-4032",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., L.P.C."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OR",
            "license": "3138",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 2, 2014; 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.