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MARISA ANN STACKPOOLE
NPI 1407427719
Counselor - Professional in Medford, OR

Active since July 07, 2021
21 HAWTHORNE ST, MEDFORD, OR 97504(458) 226-2339 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 23, 2022, Jul 7, 2021 (2 updates tracked since 2021).

About Marisa Ann Stackpoole NPPES

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

MARISA ANN STACKPOOLE (NPI 1407427719) is an individual professional provider in Medford, Oregon, licensed in Oregon (C11174) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1407427719
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARISA ANN STACKPOOLE
Location Address21 HAWTHORNE STMedford, OR 97504-7113
Mailing Address21 Hawthorne StMedford, OR 97504-7113 · (458) 226-2339
Phone(458) 226-2339
Sole ProprietorNo
Enumeration DateJuly 7, 2021
Last NPPES UpdateFebruary 13, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2026
✔ NPI 1407427719 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 · C11174
21 HAWTHORNE ST, Medford, OR 97504
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSON KANANI BROWN MA, LPCA
Counselor (Mental Health)
21 HAWTHORNE ST
MEDFORD, OR 97504
Jackson County (458) 226-2339
BRIANA GULLO
Counselor (Mental Health)
21 HAWTHORNE ST
MEDFORD, OR 97504
Jackson County (458) 226-2339
CASCADE FAMILY PRACTICE, LLC
Clinic/Center
21 HAWTHORNE ST
MEDFORD, OR 97504
Jackson County (541) 203-7558
COURTNEY ARBAN MS
Counselor (Mental Health)
21 HAWTHORNE ST
MEDFORD, OR 97504
Jackson County (971) 398-8376
HAWTHORNE HEALING CENTER LLC
Counselor (Professional)
21 HAWTHORNE ST
MEDFORD, OR 97504
Jackson County (541) 350-0571

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 Marisa Stackpoole's NPI number?

The NPI number for Marisa Stackpoole is 1407427719. It was assigned to this individual provider in the NPPES registry on July 7, 2021.

Where is Marisa Stackpoole located?

Marisa Stackpoole practices at 21 Hawthorne St, Medford, OR 97504. The listed phone number is (458) 226-2339.

What is Marisa Stackpoole's specialty?

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

When was this NPI record last updated?

The NPPES record for Marisa Stackpoole was last updated on February 13, 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.