Individual provider Active NPI

Julie Mellow, LPC

  • Professional Counselor
  • Hood River, OR
National Provider Identifier
1093127938
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C4134 Issued in OR
Practice address
979 Tucker Rd
Hood River, OR 97031-9591
Phone
(541) 490-2999
NPI assigned
May 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LH 60626167 WA
Professional Counselor 101YP2500X C4134 OR Primary

Addresses

Primary practice location

979 Tucker Rd
Hood River, OR 97031-9591

Mailing address

3372 Bradley Dr
Hood River, OR 97031-9614
Phone (541) 490-2999

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
I20240318002487 OR Practitioner - Mental Health Counselor 1153768809 Practice locations: The Dalles, OR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C4134ORMDProfessional Counselor
LH 60626167WAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Mellow Counseling PastSince Jan 1, 2024 Accepting new patients

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": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1093127938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3372 BRADLEY DR",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970319614",
            "telephone_number": "541-490-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 TUCKER RD",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970319591",
            "telephone_number": "541-490-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLOW",
        "first_name": "JULIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "LH 60626167",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C4134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

Verify at the official NPI Registry.