JOHN TRAVIS STACY BA
NPI 1063362952
Counselor in Beaverton, OR

Active since January 30, 2026
16535 SW TUALATIN VALLEY HWY, BEAVERTON, OR 97003(503) 649-5651 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Travis Stacy Ba NPPES

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

JOHN TRAVIS STACY BA (NPI 1063362952) is an individual counselor in Beaverton, Oregon and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1063362952
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJOHN TRAVIS STACYCredential: BA
Location Address16535 SW TUALATIN VALLEY HWYBeaverton, OR 97003-5143
Mailing Address16535 Sw Tualatin Valley HwyBeaverton, OR 97003-5143 · (503) 649-5651
Sole ProprietorYes
Enumeration DateJanuary 30, 2026
NPPES CertifiedJanuary 30, 2026
NPI 1063362952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
16535 SW TUALATIN VALLEY HWY, Beaverton, OR 97003

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.

Case Manager/Care Coordinator
16535 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97003
Residential Treatment Facility, Emotionally Disturbed Children
16535 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97003
Marriage & Family Therapist
16535 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97003
Counselor (Mental Health)
16535 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97003
Social Worker
16535 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97003
Counselor
16535 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97003
Marriage & Family Therapist
16535 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97003
Counselor (Mental Health)
16535 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97003

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 John Stacy's NPI number?

The NPI number for John Stacy is 1063362952. It was assigned to this individual provider in the NPPES registry on January 30, 2026.

Where is John Stacy located?

John Stacy practices at 16535 SW Tualatin Valley Hwy, Beaverton, OR 97003. The listed phone number is (503) 649-5651.

What is John Stacy's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for John Stacy was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.