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MISS STACY LYNN WIRTH M.A. L.P.C.
NPI 1356788681
Counselor - Mental Health in Portland, OR

Active since May 28, 2013PECOS Enrolled
516 SE MORRISON ST, SUITE 305, PORTLAND, OR 97214(503) 593-6835 Get Directions Write a Review

NPPES record last updated: May 28, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Stacy Lynn Wirth M.a. L.p.c. NPPES

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

MISS STACY LYNN WIRTH M.A. L.P.C. (NPI 1356788681) is an individual mental health provider in Portland, Oregon, licensed in Oregon (C2984) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1356788681
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS STACY LYNN WIRTHCredential: M.A. L.P.C.
Location Address516 SE MORRISON ST, SUITE 305Portland, OR 97214-2327
Mailing Address4216 Se 73rd AvePortland, OR 97206-3406 · (503) 929-3231
Phone(503) 593-6835
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateMay 28, 2013
✔ NPI 1356788681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · C2984
516 SE MORRISON ST, Portland, OR 97214
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Stacy Lynn Wirth M.a. L.p.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527543073
PECOS Enrollment IDI20260401003391
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.

MS. KIRA ELIZABETH LEMAT LCSW
Social Worker (Clinical)
516 SE MORRISON ST, SUITE M2
PORTLAND, OR 97214
Multnomah County (503) 708-8832
COLLECTIVE INSIGHT THERAPY SERVICES, LLC
Social Worker (Clinical)
516 SE MORRISON ST
PORTLAND, OR 97214
Multnomah County (541) 212-0058
ANGELINA RAMOS-MARCHAND, PSYD. LLC
Psychologist (Clinical)
516 SE MORRISON ST, SUITE 705
PORTLAND, OR 97214
Multnomah County (503) 367-9687
BROOKE PSYCHOLOGISTS, LLC
Psychologist (Clinical)
516 SE MORRISON ST, STE 310
PORTLAND, OR 97214
Multnomah County (503) 235-8696
MINDSIGHTS, P.C.
Psychologist
516 SE MORRISON ST, SUITE 1110
PORTLAND, OR 97214
Multnomah County (503) 222-0707
TODD RANSFORD PH.D.
Psychologist (Clinical)
516 SE MORRISON ST, SUITE 530
PORTLAND, OR 97214
Multnomah County (503) 279-8160
JUDITH B ROS LPC
Counselor (Mental Health)
516 SE MORRISON ST, SUITE 530
PORTLAND, OR 97214
Multnomah County (503) 279-8160
DIANE ELAINE GANS M.A.
Psychologist (Counseling)
516 SE MORRISON ST, SUITE 810
PORTLAND, OR 97214
Multnomah County (503) 704-3759

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 Wirth's NPI number?

The NPI number for Stacy Wirth is 1356788681. It was assigned to this individual provider in the NPPES registry on May 28, 2013.

Where is Stacy Wirth located?

Stacy Wirth practices at 516 SE Morrison St Suite 305, Portland, OR 97214. The listed phone number is (503) 593-6835.

What is Stacy Wirth's specialty?

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

Is Stacy Wirth enrolled in Medicare?

Yes. Stacy Wirth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacy Wirth was last updated on May 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.