Stacie Nicole Fish
NPI 1417536020ActiveIndividual· Counselor· Salem, OR
Counselor with Silverton Health, practicing in Salem, Oregon. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1417536020 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 2, 2021 |
| Last updated in NPPES | May 6, 2025 |
| Certified by provider | May 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | C9713 | OR |
| Counselor, Professional | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (OR) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Silverton HealthSilverton, OR · 148 clinicians
Other counselors in Salem
- 1144345570
- 1194890434
- 1285491258
- 1295515310
- 1659691038
- 1760018360
- 1760685176
- 1861576340
- 1104055003
- 1194269332
- 1295181246
- 1578764239