IndividualActive
Stacie Fish
NPI 1417536020 · Counselor · Salem, OR
Provider details
- NPI number
- 1417536020
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
147 Commercial St Ne
Salem, OR 97301-3416
Phone: (503) 589-3122
Street-level locationGet directions
Mailing address
Po Box 3417
Portland, OR 97208-3417
Additional practice locations (1)
- 347 Fairview StSilverton, OR 97381Phone: (503) 873-5667
Registry dates
- Enumerated
- 2021-04-02
- Last updated
- 2025-05-06
- Certified
- 2025-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.