Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stacie Nicole Fish

Individual provider Professional Counselor · NPI 1417536020

Stacie Nicole Fish is a Clinical Psychologist in Salem, Oregon. Qualified in 2022, 4 years ago. Practices with Silverton Health, a 146-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

147 Commercial St NE
Salem, OR 97301-3416
Phone: (503) 589-3122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 347 Fairview St, Silverton, OR 97381 — (503) 873-5667

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence C9713 (OR)
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1417536020
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 2, 2021
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Silverton Health — 146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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