SAMANTHA VICTORIA STANICH LPC CSOT NPI 1093197477

NPI Information

NPI: 1093197477
Provider Name: SAMANTHA VICTORIA STANICH, LPC, CSOT
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
11035 NE SANDY BLVD
PORTLAND, OR
ZIP 97220
Phone: (503) 736-6637
Get Directions

Samantha Victoria Stanich, LPC, CSOT is a professional counselor in Portland, OR. Samantha Victoria Stanich, LPC, CSOT NPI is 1093197477. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11035 NE SANDY BLVD
PORTLAND, OR
ZIP 97220-553
Phone: (503) 736-6637

The enumeration date for this NPI number is 6/22/2015 and was last updated on 12/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	101YM0800X	Counselor	Mental Health			No
3	103K00000X	Behavior Analyst		1396179545	WASHINGTON	No
4	101YP2500X	Counselor	Professional	C6066	OREGON	Yes
5	171M00000X	Case Manager/Care Coordinator				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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