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STEPHANIE MARIA CANALES BASURTO
NPI 1851838767
Marriage & Family Therapist in Portland, OR

Active since January 30, 2017PECOS EnrolledAccepts Medicare Assignment
12636 SE STARK ST STE 125, PORTLAND, OR 97233(503) 253-4600(503) 253-4609 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 5, 2021, Jan 30, 2017 (2 updates tracked since 2017).

About Stephanie Maria Canales Basurto NPPES

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

STEPHANIE MARIA CANALES BASURTO (NPI 1851838767) is an individual marriage & family therapist in Portland, Oregon, licensed in Oregon (T2451) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1851838767
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSTEPHANIE MARIA CANALES BASURTO
Location Address12636 SE STARK ST STE 125Portland, OR 97233-1058
Mailing Address12636 Se Stark St Ste 125Portland, OR 97233-1058 · (503) 253-4600 · Fax (503) 253-4609
Phone(503) 253-4600
Fax(503) 253-4609
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 30, 2017
Last NPPES UpdateJanuary 24, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2024
✔ NPI 1851838767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in OR · T2451
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 22-12-10524 (OR)
12636 SE STARK ST STE 125, Portland, OR 97233
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Accepted Insurance

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

Stephanie Maria Canales Basurto 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 ID3375065964
PECOS Enrollment IDI20250324003212
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

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

HILARY GABRIELLE DUVAUCHELLE PMHNP-BC, FNP-BC
Nurse Practitioner
12636 SE STARK ST STE 125
PORTLAND, OR 97233
Multnomah County (503) 253-4600

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 Stephanie Canales Basurto's NPI number?

The NPI number for Stephanie Canales Basurto is 1851838767. It was assigned to this individual provider in the NPPES registry on January 30, 2017.

Where is Stephanie Canales Basurto located?

Stephanie Canales Basurto practices at 12636 SE Stark St Ste 125, Portland, OR 97233. The listed phone number is (503) 253-4600.

What is Stephanie Canales Basurto's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Stephanie Canales Basurto enrolled in Medicare?

Yes. Stephanie Canales Basurto 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 Stephanie Canales Basurto accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Stephanie Canales Basurto 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 Stephanie Canales Basurto was last updated on January 24, 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.