Active NPI
Wendy Lynn Micheau, MS
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1174210876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- Wendy Micheau
16193 NW Hildago LN
Portland, OR 97229-9722 - Phone
- (503) 927-4387
- NPI assigned
- Apr 21, 2023
- Last updated
- Apr 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
Wendy Micheau
16193 NW Hildago LN
Portland, OR 97229-9722
Mailing address
4804 NW Bethany Blvd # I2-268
Portland, OR 97229-9195
Phone (503) 784-1706
Other names 1
- Wendy Micheau Chumbley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1174210876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4804 NW BETHANY BLVD # I2-268",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972299195",
"telephone_number": "503-784-1706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WENDY MICHEAU",
"address_2": "16193 NW HILDAGO LN",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972299722",
"telephone_number": "503-927-4387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHEAU",
"first_name": "WENDY",
"middle_name": "LYNN",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-21",
"last_updated": "2023-04-21",
"certification_date": "2023-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WENDY",
"last_name": "CHUMBLEY",
"middle_name": "MICHEAU",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.