Active NPI 1407427719 Individual Practitioner Female Practitioner

Marisa Ann Stackpoole

Counselor - Professional • Medford, OR

Professional Overview & Biography Verified Profile Summary

Marisa Stackpoole is a registered healthcare professional specializing in Counselor - Professional in Medford, OR. Practice services are available at 21 HAWTHORNE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

21 Hawthorne St

Medford, OR 975047113

Telephone 4582262339

Associated Practice Facility / Clinic

🏢 Cascade Family Practice, Llc Facility NPI 1538667662

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Medford, OR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.1 Yrs

State Avg: 13.7 Yrs

Regional Practice Density

85 Specialists

Practicing in Medford, OR (2601 Statewide)

Telehealth Adoption Rate

3.5% 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: 2026-02-13

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OR C11174

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Alyson Brown , MA, LPCA

Counselor - Mental Health

NPI 1104514819

Master of Arts, LPCA

Briana Gullo

Counselor - Mental Health

NPI 1336036870

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location February 13, 2026

Registered at 21 HAWTHORNE ST, MEDFORD, OR 975047113 (Tel: 4582262339)

📍

Updated Business Mailing Address February 13, 2026

Registered at 21 HAWTHORNE ST, MEDFORD, OR 975047113 (Tel: 4582262339)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2026

Counselor (License #C11174 in OR)

📍

Updated Business Mailing Address August 23, 2022

Registered at 201 W MAIN ST STE 4B, MEDFORD, OR 975012734 (Tel: 5414141720)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2022

Counselor

✅

NPI Profile Active July 07, 2021

NPI status registered as active in NPPES database

📍

Updated Practice Location July 07, 2021

Registered at 2368 CRATER LAKE AVE STE 102, MEDFORD, OR 975045006 (Tel: 5417271592)

📍

Updated Business Mailing Address July 07, 2021

Registered at 2368 CRATER LAKE AVE STE 102, MEDFORD, OR 975045006 (Tel: 5417271592)

👤

Provider Name / Credentials Updated July 07, 2021

Recorded as MARISA STACKPOOLE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2021

Behavior Technician

🟢

Initial NPI Registration & Enumeration July 07, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1407427719

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 07, 2021

Last Update: February 13, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

21 Hawthorne St

Medford, OR 975047113

Phone: 4582262339

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.