STACEY MORT
NPI 1902392160
Counselor - Addiction (Substance Use Disorder) in Bremerton, WA

Q: What is Stacey Mort's NPI number?

The NPI number for Stacey Mort is 1902392160. It was assigned to this individual provider in the NPPES registry on July 10, 2018.

Q: What is Stacey Mort's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Mort was last updated on January 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 July 10, 2018

1520 NE RIDDELL RD # 110, BREMERTON, WA 98310(360) 415-5870 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 29, 2020, Jul 10, 2018 (2 updates tracked since 2018).

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About Stacey Mort NPPES

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

STACEY MORT (NPI 1902392160) is an individual addiction (substance use disorder) provider in Bremerton, Washington, licensed in Washington (CP60622827) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1902392160

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameSTACEY MORT

Location Address1520 NE RIDDELL RD # 110Bremerton, WA 98310-3005

Mailing Address5455 Almira Dr NeBremerton, WA 98311-8330 · (360) 415-5870

Phone(360) 415-5870

Sole ProprietorNo

Enumeration DateJuly 10, 2018

Last NPPES UpdateJanuary 29, 20202 updates tracked since enumeration

✔ NPI 1902392160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in WA · CP60622827

1520 NE RIDDELL RD # 110, Bremerton, WA 98310

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Other Providers at the Same Location NPPES 2

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

BEVERLY MICHELLE JOHNSON SUDP/RN

Counselor (Addiction (Substance Use Disorder))

1520 NE RIDDELL RD # 110
BREMERTON, WA 98310

Kitsap County (360) 228-7246

RAYNETTE FREDERICKS LPN

Licensed Practical Nurse

1520 NE RIDDELL RD # 110
BREMERTON, WA 98310

Kitsap County (786) 518-8971

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 Stacey Mort's NPI number?

The NPI number for Stacey Mort is 1902392160. It was assigned to this individual provider in the NPPES registry on July 10, 2018.

Where is Stacey Mort located?

Stacey Mort practices at 1520 NE Riddell Rd # 110, Bremerton, WA 98310. The listed phone number is (360) 415-5870.

What is Stacey Mort's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Stacey Mort was last updated on January 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.