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: October 25, 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
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

Other Names 1

Professional Name (2)Raquel Stewart Ma, Lpc

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Raquel Stewart-mendoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
905 SE 14TH AVE
Portland, OR 97214
  • Reassigned Medicare billing, Oregon enrollment
  • 60 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Psychologist
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Counselor
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Counselor (Professional)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Counselor (Professional)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Counselor (Mental Health)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Psychiatry & Neurology (Psychiatry)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Counselor (Mental Health)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Counselor (Professional)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233

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.

Which organization bills Medicare for Raquel Stewart-mendoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raquel Stewart-mendoza reassigns Medicare benefits to Larsen Sanchez Psychology, LLC (Portland, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raquel Stewart-mendoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raquel Stewart-mendoza accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Raquel Stewart-mendoza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 12 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.