Stephanie Avery, M.ED., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R7609 Issued in OR

Practice address

2512 SE 25TH Ave Ste 202
Portland, OR 97202-2075

Phone

(503) 388-6590

NPI assigned

Jun 6, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1891424974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 SE 25TH AVE STE 202",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972022075",
            "telephone_number": "503-388-6590",
            "fax_number": "503-893-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 SE 25TH AVE STE 202",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972022075",
            "telephone_number": "503-388-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "STEPHANIE",
        "credential": "M.ED., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "R7609",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R7609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A P Aversano, D.O.
• Mikayla Avery-Hull
• Anne Katharine Avery, MD
• Patricia Monique Keiki O Avery
• Stefanie B Avery, FNP-C
• Tate Avey
• Anne Avgerin
• Guadalupe L Avila Martin, CHW
• Isavel Avila
• Jessica Avila

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.