1. Home
  2. Directory
  3. Oregon
  4. Redmond
  5. Counselor
  6. NPI Profile

STACY JIM
NPI 1053842690
Counselor - Mental Health in Redmond, OR

Active since March 24, 2017
340 NW 5TH ST, BOX 1710, REDMOND, OR 97756(541) 516-4087(541) 504-1195 Get Directions Write a Review

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacy Jim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY JIM (NPI 1053842690) is an individual mental health provider in Redmond, Oregon and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1053842690
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTACY JIM
Location Address340 NW 5TH ST, BOX 1710Redmond, OR 97756-1869
Mailing Address850 Sw 4th StMadras, OR 97741-9628 · (541) 475-6575
Phone(541) 516-4087
Fax(541) 504-1195
Sole ProprietorNo
Enumeration DateMarch 24, 2017
✔ NPI 1053842690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
340 NW 5TH ST, Redmond, OR 97756
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY CULBERTSON CADC II, QMHA II
Counselor (Addiction (Substance Use Disorder))
340 NW 5TH ST, BOX 1710
REDMOND, OR 97756
Deschutes County (540) 516-4087
JESSICA WALSH MSN, APRN, CNM
Advanced Practice Midwife
340 NW 5TH ST
REDMOND, OR 97756
Deschutes County (541) 526-6635
DENISE PIZA
Counselor (Mental Health)
340 NW 5TH ST, BOX 1710
REDMOND, OR 97756
Deschutes County (541) 475-6575
AMY B MCELROY FNP
Nurse Practitioner (Family)
340 NW 5TH ST, SUITE 101
REDMOND, OR 97756
Deschutes County (541) 526-6635
ROWDY RANDALL CRM
Counselor (Addiction (Substance Use Disorder))
340 NW 5TH ST, BOX 1710
REDMOND, OR 97756
Deschutes County (541) 516-4087
ELIZABETH MEDORA MURRILL M.D.
Obstetrics & Gynecology
340 NW 5TH ST, SUITE 101
REDMOND, OR 97756
Deschutes County (541) 526-6635
TRENT TITUS CRM
Counselor (Addiction (Substance Use Disorder))
340 NW 5TH ST, BOX 1710
REDMOND, OR 97756
Deschutes County (541) 516-4087
DEVON CHARLOTTE RILEY CNM
Advanced Practice Midwife
340 NW 5TH ST
REDMOND, OR 97756
Deschutes County (541) 526-6635

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Jim's NPI number?

The NPI number for Stacy Jim is 1053842690. It was assigned to this individual provider in the NPPES registry on March 24, 2017.

Where is Stacy Jim located?

Stacy Jim practices at 340 NW 5th St Box 1710, Redmond, OR 97756. The listed phone number is (541) 516-4087.

What is Stacy Jim's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Stacy Jim was last updated on March 24, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.