Active NPI
Melanie Roedel, LPC, MA MFT
- Professional Counselor
- Hillsboro, OR
National Provider Identifier
1023339488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C3482
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C3482 | OR | MD | Professional Counselor |
| REGISTERED INTERN | OR | MD | Professional 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.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.