AUTUMN SAGE STOUTENBURGH (NPI# 1154944460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154944460 |
| Entity Type | Individual |
| Full Name | AUTUMN SAGE STOUTENBURGH |
| Credential | MSW, CSWA |
| Practice Address |
678 Park St Ashland OR 97520-2504 |
| Practice Telephone | 5415216537 |
| Mailing Telephone | 5415216537 |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
A4715 | OR | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
A4715 | OR | Behavioral Health & Social Service Providers |
| Street Address |
678 PARK ST |
| City | ASHLAND |
| State | OR |
| Zip Code | 97520-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390435 | Susan Kathleen Phelps | Massage Therapist | 280 E. Hersey St., Suite B17, Ashland, OR 97520 | 2020-06-08 |
| 1891276101 | William Charles Southworth | Internal Medicine | 866 Blaine St.., Ashland, OR 97520 | 2018-08-24 |
| 1326545625 | Daniel Jordan Decillis | Dentist | 1144 Iowa St Ste A, Ashland, OR 97520 | 2018-04-12 |
| 1730690959 | Eleyah Knight | Acupuncturist | 850 Siskyou Blvd. #6, Ashland, OR 97520 | 2017-10-15 |
| 1881117752 | Elizabeth Kristine Follett | Speech-Language Pathologist | 3265 Biddle Road, Medford, OR 97520 | 2017-07-21 |
| 1457895955 | Graham Collins Inc. | Counselor | 1600 Tolman Creek Rd, Ashland, OR 97520 | 2016-12-19 |
| 1720538010 | Kate Preskenis, Lmt, LLC | Massage Therapist | 823 Siskiyou Blvd., Ashland, OR 97520 | 2016-10-11 |
| 1366899445 | Nadejda Ioana Razi Robertson | Social Worker | 246 Second Street, Ashland, OR 97520 | 2016-05-19 |
| 1225496193 | Teena Summers | Marriage & Family Therapist | 200 Ohio St., Ashland, OR 97520 | 2016-02-05 |
| 1114392016 | Amanda Rose | Doula | 2233 Villard St Apt 203, Ashland, OR 97520 | 2015-12-04 |
| Find all providers in zip 97520 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463597 | Refuge Counseling, LLC | Counselor | 45 Morgan Ave, Ashland, OH 44805-3952 | 2020-10-03 |
| 1932720885 | Ashland Professional Counseling, LLC | Counselor | 2660 Woodhaven Dr, Ashland, KY 41102-5783 | 2020-05-01 |
| 1912536210 | Kristel Olsen | Counselor | 1661 Highway 99 N # 203e, Ashland, OR 97520-8900 | 2020-04-07 |
| 1689217424 | Sandra Lee Perkins Koyote | Counselor | 303 Grant St, Ashland, OR 97520-1579 | 2019-10-24 |
| 1932740230 | Evelyn Penelope Herman | Counselor | 102 Garfield St Apt 24, Ashland, OR 97520-3952 | 2019-10-08 |
| 1578114724 | Shaylee Graham | Counselor | 502 A St Ste 2, Ashland, OR 97520-2288 | 2019-09-27 |
| 1689227795 | Sarah Elizabeth Coenen | Counselor | 620 Clay St, Ashland, OR 97520-1418 | 2019-07-17 |
| 1861976953 | Tristin L Victor | Counselor | 233 4th St Ste 5, Ashland, OR 97520-2043 | 2018-09-24 |
| 1922517937 | Tamika Samson | Counselor | 8 Joanne Dr Apt 31, Ashland, MA 01721-2284 | 2017-09-21 |
| 1235656885 | Michelle L. Rowan | Counselor | 1763 State Route 60 Ste 120, Ashland, OH 44805-8707 | 2017-08-24 |
| Find all providers in ASHLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.