ANDREW STUCK
NPI 1649678152
Counselor - Mental Health in Medford, OR

Active since December 15, 2014PECOS EnrolledAccepts Medicare Assignment
1040 CRATER LAKE AVE STE D, MEDFORD, OR 97504(541) 500-8655(800) 433-1396 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 6, 2019, Jul 24, 2019, Aug 3, 2018 and 2 more (5 updates tracked since 2016).

About Andrew Stuck NPPES

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

ANDREW STUCK (NPI 1649678152) is an individual mental health provider in Medford, Oregon, licensed in Oregon (C4877) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in White City, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1649678152
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameANDREW STUCK
Location Address1040 CRATER LAKE AVE STE DMedford, OR 97504-6295
Mailing AddressPo Box 1787Medford, OR 97501-0261 · (541) 500-8655 · Fax (800) 433-1396
Fax(800) 433-1396
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 15, 2014
Last NPPES UpdateJanuary 29, 20245 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2024
NPI 1649678152 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 OR · C4877
1040 CRATER LAKE AVE STE D, Medford, OR 97504

Secondary Practice Location 1

Location 18336 Crater Lake Hwy Ste 101White City, OR 97503-1024 · Phone (541) 538-5111

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

Andrew Stuck 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 ID1759829492
PECOS Enrollment IDI20240813003292
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 NPPES 4

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
1040 CRATER LAKE AVE STE D
MEDFORD, OR 97504
Counselor (Professional)
1040 CRATER LAKE AVE STE D
MEDFORD, OR 97504
Social Worker (Clinical)
1040 CRATER LAKE AVE STE D
MEDFORD, OR 97504
Counselor (Professional)
1040 CRATER LAKE AVE STE D
MEDFORD, OR 97504

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649678152, enumerated as an "individual" on December 15, 2014.

The provider is located at 1040 CRATER LAKE AVE STE D MEDFORD, OR 97504 and the phone number is (541) 500-8655.

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

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.