Individual provider Active NPI

Melanie Roedel, LPC, MA MFT

  • Professional Counselor
  • Hillsboro, OR
National Provider Identifier
1023339488
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C3482 Issued in OR
Practice address
5289 NE Elam Young Pkwy Ste 140
Hillsboro, OR 97124
Phone
(503) 372-5147
Fax
(503) 640-4001
NPI assigned
Jun 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X REGISTERED INTERN OR
Marriage & Family Therapist 106H00000X
Professional Counselor 101YP2500X C3482 OR Primary

Addresses

Primary practice location

5289 NE Elam Young Pkwy Ste 140
Hillsboro, OR 97124

Mailing address

1176 NW Fall Ave
Beaverton, OR 97006-4033
Phone (503) 544-1734

Other practice location 1

111 SE 3rd Ave
Ste. D
Hillsboro, OR 97123-4036
Phone (503) 544-1734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220001144 OR Practitioner - Mental Health Counselor 3072957901 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C3482ORMDProfessional Counselor
REGISTERED INTERNORMDProfessional Counselor

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1023339488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 NW FALL AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064033",
            "telephone_number": "503-544-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5289 NE ELAM YOUNG PKWY STE 140",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "97124",
            "telephone_number": "503-372-5147",
            "fax_number": "503-640-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 SE 3rd Ave",
            "address_2": "Ste. D",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971234036",
            "country_code": "US",
            "telephone_number": "503-544-1734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROEDEL",
        "first_name": "MELANIE",
        "credential": "LPC, MA MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "REGISTERED INTERN",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C3482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.