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STACIE ELKINS
NPI 1477034221
Counselor - Mental Health in Oregon City, OR

Active since August 28, 2018Opted out of Medicare · through Jun 8, 2028
12636 TIDEWATER ST, OREGON CITY, OR 97045(503) 850-8189 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Mar 2, 2026, Jan 26, 2022, Aug 28, 2018 (3 updates tracked since 2018).

About Stacie Elkins NPPES

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

STACIE ELKINS (NPI 1477034221) is an individual mental health provider in Oregon City, Oregon and active in the NPI registry since August 2018. She has opted out of Medicare through June 8, 2028.

NPPES Registry Identity

NPI1477034221
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTACIE ELKINS
Location Address12636 TIDEWATER STOregon City, OR 97045-8093
Mailing AddressPo Box 2411Oregon City, OR 97045-0208 · (503) 850-8189
Phone(503) 850-8189
Sole ProprietorYes
Enumeration DateAugust 28, 2018
Last NPPES UpdateMarch 2, 20263 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
✔ NPI 1477034221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
12636 TIDEWATER ST, Oregon City, OR 97045
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Stacie Elkins has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 8, 2026 through June 8, 2028.

Opt-Out Effective DateJune 8, 2026
Opt-Out In Effect ThroughJune 8, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Stacie Elkins's NPI number?

The NPI number for Stacie Elkins is 1477034221. It was assigned to this individual provider in the NPPES registry on August 28, 2018.

Where is Stacie Elkins located?

Stacie Elkins practices at 12636 Tidewater St, Oregon City, OR 97045. The listed phone number is (503) 850-8189.

What is Stacie Elkins's specialty?

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

Is Stacie Elkins enrolled in Medicare?

No. Stacie Elkins has opted out of Medicare through June 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Stacie Elkins was last updated on March 2, 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.