Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Stacy Lynn Wirth, MA, LPC

Individual provider Mental Health Counselor · NPI 1356788681

Miss. Stacy Lynn Wirth, MA, LPC is a Mental Health Counselor in Portland, Oregon. Qualified in 2006, 20 years ago. Practices as a sole proprietor. Licensed in Oregon.

Years since qualifying
20
Licensed in
OR
In the registry since
2013
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

516 SE Morrison St Ste 305
Portland, OR 97214-2327
Phone: (503) 593-6835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence C2984 (OR)

Record details

NPI number1356788681
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPC
Sole proprietorYes
NPI enumeratedMay 28, 2013
Last updated in NPPESMay 28, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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