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STACY ANN WILSON CRM, QMHA, CADC
NPI 1386277150
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since February 19, 2020
2901 E BURNSIDE ST, PORTLAND, OR 97214(503) 238-5203 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2025, Feb 19, 2020 (2 updates tracked since 2020).

About Stacy Ann Wilson Crm, Qmha, Cadc NPPES

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

STACY ANN WILSON CRM, QMHA, CADC (NPI 1386277150) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (25-03-11415) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1386277150
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSTACY ANN WILSONCredential: CRM, QMHA, CADC
Location Address2901 E BURNSIDE STPortland, OR 97214-1831
Mailing Address2901 E Burnside StPortland, OR 97214-1831 · (503) 238-5203
Phone(503) 238-5203
Sole ProprietorNo
Enumeration DateFebruary 19, 2020
Last NPPES UpdateMarch 4, 20252 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1386277150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 25-03-11415
Also ListedSpecialistTaxonomy 174400000X · License 24-QMHA-I-004213 (OR)
Also ListedPeer SpecialistTaxonomy 175T00000X · License 20-CRM-007 (OR)
2901 E BURNSIDE ST, Portland, OR 97214
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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. AUTUMN BROWN CADC I
Counselor (Addiction (Substance Use Disorder))
2901 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 238-5203
MRS. BRIDGET ANN BROOKS LCSW
Social Worker (Clinical)
2901 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 238-5203
KENT DAIL
Counselor (Professional)
2901 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 953-0310
CHRISTOPHER A VAUGHN
Counselor (Addiction (Substance Use Disorder))
2901 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 238-5203
DANIELLE MAY DEER MA, CADC2
Counselor (Addiction (Substance Use Disorder))
2901 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 238-5203
VANESSA KNIGHT
Counselor (Professional)
2901 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 953-0310
EVELYN SANDHIYA CHAMBERS
Peer Specialist
2901 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 238-5203
SUNDAURA LITHMAN MSW, CSWA
Counselor (Mental Health)
2901 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 238-5203

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 Wilson's NPI number?

The NPI number for Stacy Wilson is 1386277150. It was assigned to this individual provider in the NPPES registry on February 19, 2020.

Where is Stacy Wilson located?

Stacy Wilson practices at 2901 E Burnside St, Portland, OR 97214. The listed phone number is (503) 238-5203.

What is Stacy Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Stacy Wilson accept?

Health plans from Moda Health Plan, Inc. list Stacy Wilson 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 Stacy Wilson was last updated on March 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.