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

Q: What is Andrew Stuck's NPI number?

The NPI number for Andrew Stuck is 1649678152. It was assigned to this individual provider in the NPPES registry on December 15, 2014.

Q: What is Andrew Stuck's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrew Stuck was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

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: August 09, 2026.

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

On this page

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

Phone(541) 500-8655

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

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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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.

PEACE IN MIND COUNSELING

Clinic/Center (Mental Health (Including Community Mental Health Center))

1040 CRATER LAKE AVE STE D
MEDFORD, OR 97504

Jackson County (541) 951-1098

KELL WAGNER NCC, LPC ASSOCIATE

Counselor (Professional)

1040 CRATER LAKE AVE STE D
MEDFORD, OR 97504

Jackson County (541) 840-7684

RAYMOND DIRK SHUMWAY LCSW

Social Worker (Clinical)

1040 CRATER LAKE AVE STE D
MEDFORD, OR 97504

Jackson County (435) 216-6073

TRAVIS SCOTT BURCH

Counselor (Professional)

1040 CRATER LAKE AVE STE D
MEDFORD, OR 97504

Jackson County (541) 500-8655

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 Andrew Stuck's NPI number?

The NPI number for Andrew Stuck is 1649678152. It was assigned to this individual provider in the NPPES registry on December 15, 2014.

Where is Andrew Stuck located?

Andrew Stuck practices at 1040 Crater Lake Ave Ste D, Medford, OR 97504. The listed phone number is (541) 500-8655.

What is Andrew Stuck's specialty?

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

Is Andrew Stuck enrolled in Medicare?

Yes. Andrew Stuck is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andrew Stuck accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Andrew Stuck 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 Andrew Stuck was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.