STEPHENIE SAINT DAVIS LPC
NPI 1639910516
Counselor - Mental Health in Salem, OR

Active since June 04, 2024PECOS EnrolledAccepts Medicare Assignment
454 17TH ST NE, SALEM, OR 97301(503) 231-7854 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stephenie Saint Davis Lpc NPPES

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

STEPHENIE SAINT DAVIS LPC (NPI 1639910516) is an individual mental health provider in Salem, Oregon, licensed in Texas (74502) and active in the NPI registry since June 2024. The provider is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1639910516
Entity TypeIndividual
Primary Taxonomy101YM0800X
Provider Legal NameSTEPHENIE SAINT DAVISCredential: LPC
Location Address454 17TH ST NESalem, OR 97301-4223
Mailing Address5100 S Macadam Ave Ste 350Portland, OR 97239-3877 · (503) 231-7854
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 4, 2024
NPPES CertifiedJune 2, 2024
NPI 1639910516 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 TX · 74502
454 17TH ST NE, Salem, OR 97301

Secondary Practice Location 1

Location 15100 S MacAdam Ave Ste 350Portland, OR 97239-3877 · Phone (503) 231-7854

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stephenie Saint Davis Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608300355
PECOS Enrollment IDI20241118001137
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


The following 2 providers are registered at the same or a nearby location.

Psychologist
454 17TH ST NE
SALEM, OR 97301
Counselor (Mental Health)
454 17TH ST NE
SALEM, OR 97301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639910516, enumerated as an "individual" on June 04, 2024.

The provider is located at 454 17TH ST NE SALEM, OR 97301 and the phone number is (503) 231-7854.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Kaiser Permanente and Regence BlueCross BlueShield. Please consult your insurance carrier or call the provider to verify.