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RAQUEL STEWART-MENDOZA MA, LPCA
NPI 1083392286
Counselor - Professional in Portland, OR

Active since July 07, 2023PECOS Enrolled
12636 SE STARK ST BLDG J, PORTLAND, OR 97233(503) 253-4600 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2024, Aug 22, 2023, Jul 7, 2023 (3 updates tracked since 2023).

About Raquel Stewart-mendoza Ma, Lpca NPPES

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

RAQUEL STEWART-MENDOZA MA, LPCA (NPI 1083392286) is an individual professional provider in Portland, Oregon, licensed in Oregon (C10568) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1083392286
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameRAQUEL STEWART-MENDOZACredential: MA, LPCA
Location Address12636 SE STARK ST BLDG JPortland, OR 97233-1058
Mailing Address12636 Se Stark St Ste 125Portland, OR 97233-1058
Phone(503) 253-4600
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 7, 2023
Last NPPES UpdateSeptember 29, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2025
✔ NPI 1083392286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C10568
12636 SE STARK ST BLDG J, Portland, OR 97233
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Other Names 1

Professional Name (2)Raquel Stewart Ma, Lpc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raquel Stewart-mendoza Ma, Lpca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486130606
PECOS Enrollment IDI20260107004001
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

ETHAN WARANCH PSYD
Psychologist
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Multnomah County (503) 253-4600
NANNETTE ZIRNSTEIN L.P.C.
Counselor
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Multnomah County (503) 225-3460
MR. ALLEN LYNN HALL JR. MA, LPC
Counselor (Professional)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Multnomah County (503) 253-4600
SHARON M HATRAK
Counselor (Mental Health)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Multnomah County (503) 253-4600
MEGHAN L O'NEIL MD
Psychiatry & Neurology (Psychiatry)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Multnomah County (032) 534-6005
ABIGAIL ELIZABETH SCHULTZ LPC
Counselor (Mental Health)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Multnomah County (503) 233-5405
MICHELLE DAWN CRAIG MA, LPC
Counselor (Professional)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Multnomah County (503) 253-4600
DR. MARTHA VILLEGAS-GUTIERREZ PH.D.
Psychologist (Clinical)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Multnomah County (503) 253-4609

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 Raquel Stewart-mendoza's NPI number?

The NPI number for Raquel Stewart-mendoza is 1083392286. It was assigned to this individual provider in the NPPES registry on July 7, 2023. The provider is also known as Raquel Stewart Ma, Lpc.

Where is Raquel Stewart-mendoza located?

Raquel Stewart-mendoza practices at 12636 SE Stark St Bldg J, Portland, OR 97233. The listed phone number is (503) 253-4600.

What is Raquel Stewart-mendoza's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Raquel Stewart-mendoza enrolled in Medicare?

Yes. Raquel Stewart-mendoza is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raquel Stewart-mendoza was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.