Frederick Douglass Staten, CADC, LPC, PhD
- Affiliated sites
- 1
- Medical group
- 1
- State licenses
- 2
- Year NPI issued
- 2012
- Practice address
- 7507 Ne 51st St, Vancouver, WA 98662-6007
- Practice phone
- Call (360) 906-1190
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Lifestance Health
Behavioral health practice · Vancouver, Washington
Find Frederick Staten's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Frederick Douglass Staten is a professional counselor in Vancouver, Washington
Frederick Staten practices at Lifestance Health in Vancouver, Washington.
Frederick Staten's NPI, 1417216730, was assigned on May 7, 2012. Frederick Staten holds Oregon license C4765.
- NPI
- 1417216730NPI Registry (opens in a new tab)
- Medicare PAC ID
- 7012495476
- NPI enumeration date
- May 7, 2012
- NPI status
- Active
- Practice phone
- (360) 906-1190
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 41
- Medical school graduation
- 2011
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data
Frederick Douglass Staten practices at Lifestance Health in Vancouver, Washington
Frederick Staten's primary practice is Lifestance Health, at 7507 Ne 51st St, Vancouver, WA 98662-6007. The practice phone is (360) 906-1190.
- Lifestance Health7507 Ne 51st St, Vancouver, WA 98662-6007Phone(360) 906-1190
Source: Dmand AI Affiliation Data
Frederick Douglass Staten is affiliated with 1 site of care and 1 medical group
Frederick Staten's primary practice is Lifestance Health in Vancouver, Washington. The medical group on file is LifeStance Health.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Frederick Douglass Staten's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Frederick Staten practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Lifestance Health | Available with a free account |
Source: Dmand AI Technology Install Data
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Frederick Douglass Staten is one of 178 professional counselors in Washington
Professional is Frederick Staten's primary specialty in the NPI Registry, under taxonomy code 101YP2500X. Dmand AI has Frederick Staten's licenses on file in 2 states: Oregon and Washington.
Specialties and state licenses
- Professional counselor, OregonPrimary
- Washington license
Professional counselors near Frederick Staten
Counts of professional counselors with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Frederick Douglass Staten's patients have a median age of 37
Across all payers, Dmand AI patient panel data puts Frederick Staten's median patient age at 37, with 21% women.
Frederick Staten's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 37
Patient panel by sex, all payers
- Women21%
- Men79%
Source: Dmand AI Patient Panel Data
Sources for Frederick Douglass Staten's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Frederick Douglass Staten
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Frederick Douglass Staten's NPI number?
Frederick Douglass Staten's NPI number is 1417216730. It was assigned on May 7, 2012, and it is active in the NPI Registry.
What does Frederick Douglass Staten specialize in?
Frederick Douglass Staten is a professional counselor in Vancouver, Washington. The primary specialty in the NPI Registry is Professional Counselor (taxonomy code 101YP2500X).
Where does Frederick Douglass Staten practice?
Frederick Staten practices at 7507 Ne 51st St, Vancouver, WA 98662-6007. Frederick Staten's primary practice is Lifestance Health in Vancouver, Washington.
What is Frederick Douglass Staten's office phone number?
The practice phone on file for Frederick Staten is (360) 906-1190.
What is Frederick Douglass Staten's medical license number?
Frederick Staten holds Oregon license C4765, one of the licenses on file in 2 states.
Which states has Frederick Douglass Staten been licensed in?
Dmand AI has state licenses on file for Frederick Staten in Oregon and Washington.
What medical group is Frederick Douglass Staten part of?
Frederick Staten is linked to LifeStance Health.
How long has Frederick Douglass Staten been practicing?
Frederick Staten graduated from medical school in 2011, 15 years ago.
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