Active NPI
Sellwood Counseling Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, OR
National Provider Identifier
1841618253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 3138
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.