1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Counselor
  6. NPI Profile

KIMBERLY STETSON MA, LPC INTERN, CADC
NPI 1629513320
Counselor - Mental Health in Portland, OR

Active since January 04, 2017
8837 SE 13TH AVE, PORTLAND, OR 97202(971) 303-8650 Get Directions Write a Review

NPPES record last updated: May 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 27, 2020, Sep 6, 2019, Mar 8, 2018 and 2 more (5 updates tracked since 2017).

About Kimberly Stetson Ma, Lpc Intern, Cadc NPPES

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

KIMBERLY STETSON MA, LPC INTERN, CADC (NPI 1629513320) is an individual mental health provider in Portland, Oregon, licensed in Oregon (R4625) and active in the NPI registry since January 2017. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1629513320
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY STETSONCredential: MA, LPC INTERN, CADC
Location Address8837 SE 13TH AVEPortland, OR 97202-7111
Mailing Address8837 Se 13th AvePortland, OR 97202-7111 · (971) 303-8650
Phone(971) 303-8650
Sole ProprietorYes
Enumeration DateJanuary 4, 2017
Last NPPES UpdateMay 27, 20205 updates tracked since enumeration
NPPES CertifiedMay 27, 2020
✔ NPI 1629513320 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
License✔ Licensed in OR · R4625
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 18-04-13 (OR)
8837 SE 13TH AVE, Portland, OR 97202
Open in Google Maps ↗

Secondary Practice Location 1

Location 12304 E Burnside St Ste 5Portland, OR 97214-1677 · Phone (971) 303-8650

Accepted Insurance

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

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 Kimberly Stetson's NPI number?

The NPI number for Kimberly Stetson is 1629513320. It was assigned to this individual provider in the NPPES registry on January 4, 2017.

Where is Kimberly Stetson located?

Kimberly Stetson practices at 8837 SE 13th Ave, Portland, OR 97202. The listed phone number is (971) 303-8650.

What is Kimberly Stetson's specialty?

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

What insurance does Kimberly Stetson accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Kimberly Stetson 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 Kimberly Stetson was last updated on May 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.