STACY LYNN RISER (NPI# 1861544033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861544033 |
| Entity Type | Individual |
| Full Name | STACY LYNN RISER |
| Credential | LPC MA CADC QMHP |
| Practice Address |
131 Ne 102nd Ave Portland OR 97220-4167 |
| Mailing Address |
2051 Kaen Rd Oregon City OR 97045-4035 |
| Practice Telephone | 5032536754 |
| Practice Fax Number | 5032538020 |
| Mailing Telephone | 5036503110 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2016-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
C2406 | OR | Behavioral Health & Social Service Providers |
| Street Address |
131 NE 102ND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-4167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366464570 | Jeffery Franklin Foster | Counselor | 131 Ne 102nd Ave, Portland, OR 97220-4167 | 2006-07-24 |
| 1265657159 | Amy Ruth | Psychiatry & Neurology | 131 Ne 102nd Ave, Portland, OR 97220-4167 | 2007-04-16 |
| 1679610018 | Susan Mawdesley Haines | Counselor | 131 Ne 102nd Ave, Portland, OR 97220-4167 | 2007-02-01 |
| 1881731750 | Deborah Jeanne Wright | Counselor | 131 Ne 102nd Ave, Portland, OR 97220-4167 | 2007-01-31 |
| 1245376730 | Carmen Tara Corbin II | Counselor | 131 Ne 102nd Ave, Portland, OR 97220-4167 | 2007-01-30 |
| 1568509677 | James John Heidrick | Counselor | 131 Ne 102nd Ave, Portland, OR 97220-4167 | 2007-01-30 |
| 1184760019 | Carol A Schmidt | Case Manager/Care Coordinator | 131 Ne 102nd Ave, Portland, OR 97220-4167 | 2007-01-29 |
| 1023154846 | Brooke Ann Sheehan | Nurse Practitioner | 131 Ne 102nd Ave, Portland, OR 97220-4167 | 2007-01-29 |
| 1801940325 | Jerray Anthony Brannon | Case Manager/Care Coordinator | 131 Ne 102nd Ave, Portland, OR 97220-4167 | 2007-01-22 |
| 1104912872 | Diane K Rose | Counselor | 131 Ne 102nd Ave, Portland, OR 97220-4167 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
| 1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
| 1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
| 1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
| Find all providers in zip 97220 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013373 | Ruth Tessema | Counselor | 2120 Ne 166th Dr, Portland, OR 97230-5558 | 2020-11-03 |
| 1629675582 | Michelle Robydek | Counselor | 103 Rindle Bluff Dr, Portland, MI 48875-9435 | 2020-10-05 |
| 1326656240 | Donald Marks | Counselor | 7901 Se Powell Blvd Ste B251, Portland, OR 97206-2314 | 2020-07-16 |
| 1922624782 | Marc Francis Otto | Counselor | 215 Ne 60th Ave, Portland, OR 97213-3721 | 2020-06-17 |
| 1013532183 | Monica Grace Vanek | Counselor | 4248 Ne Skidmore St, Portland, OR 97218-1753 | 2020-06-14 |
| 1427670355 | Leonore Elisabeth Licht-miller | Counselor | 1455 Sw Stephenson St, Portland, OR 97219-8222 | 2020-05-14 |
| 1821624834 | Kara Pierce | Counselor | 5640 Ne 7th Ave, Portland, OR 97211-3249 | 2020-03-21 |
| 1932746302 | Lynne Coon Counseling, LLC | Counselor | 1340 Sw Bertha Blvd Ste 202, Portland, OR 97219-2096 | 2019-12-04 |
| 1912554809 | Genevieve Pritchard | Counselor | 4150 N Williams Ave Apt 409, Portland, OR 97217-2970 | 2019-08-24 |
| 1407312465 | Jor-el Zajatz | Counselor | 12 Se 14th Ave Ste 105, Portland, OR 97214-1404 | 2019-02-14 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.