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Active NPI 1447963954 Individual Practitioner Female Practitioner

Kandyce Lee Stirman , CADC-R, CRM, THW

Peer Specialist • Lebanon, OR

Professional Overview & Biography Verified Profile Summary

Kandyce Stirman, CADC-R, CRM, THW is a registered healthcare professional specializing in Peer Specialist in Lebanon, OR. Practice services are available at 38961 RIVER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

38961 River Dr

Lebanon, OR 973558913

Telephone 5033022656
Associated Practice Facility / Clinic
🏢 Mid-Valley Healthcare Inc Facility NPI 1205341617

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Lebanon, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Lebanon, OR (3408 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-21
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OR 22-CRM-1053

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OR T-24-4023

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location June 21, 2024

Registered at 38961 RIVER DR, LEBANON, OR 973558913 (Tel: 5033022656)

📍
Updated Business Mailing Address June 21, 2024

Registered at 111 N MAIN ST STE A, LEBANON, OR 973552869 (Tel: 5414099459)

👤
Provider Name / Credentials Updated June 21, 2024

Recorded as KANDYCE STIRMAN, CADC-R, CRM, THW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2024

Counselor (License #T-24-4023 in OR)

NPI Profile Active January 02, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location January 02, 2023

Registered at 1100 JACKSON ST SE, ALBANY, OR 973223244 (Tel: 5419678545)

📍
Updated Business Mailing Address January 02, 2023

Registered at 1100 JACKSON ST SE, ALBANY, OR 973223244 (Tel: 5033022656)

👤
Provider Name / Credentials Updated January 02, 2023

Recorded as KANDYCE OLLIAN-WILLIAMS, CRM, THW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2023

Peer Specialist

🟢
Initial NPI Registration & Enumeration December 29, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447963954
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 29, 2022
Last Update: June 21, 2024
Sole Proprietor: Yes

Mailing Address

111 N Main St Ste A

Lebanon, OR 973552869

Phone: 5414099459

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.