STACIE M WENTLING CSWA QMHP CADCI NPI 1801021159

NPI Information

NPI: 1801021159
Provider Name: STACIE M WENTLING, CSWA, QMHP, CADCI
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
847 NE 19TH AVE STE 100
PORTLAND, OR
ZIP 97232
Phone: (541) 883-3471
Get Directions

Stacie M Wentling, CSWA, QMHP, CADCI is a mental health counselor in Portland, OR. Stacie M Wentling, CSWA, QMHP, CADCI NPI is 1801021159. 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:

847 NE 19TH AVE STE 100
PORTLAND, OR
ZIP 97232-684
Phone: (541) 883-3471
Fax: (541) 883-3524

The NPI 1801021159 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/15/2009 and was last updated on 5/21/2019.

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	A5434	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A5434	OTHER	OREGON	CLINICAL SOCIAL WORK ASSOCIATE
2	18-01-16	OTHER	OREGON	CERTIFIED DRUG AND ALCOHOL COUNSELOR I
3	1114058898	MEDICAID	OREGON

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »