Mychelle Moritz, MA, ATR-BC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C1950 Issued in OR

Practice address

1017 SW Morrison St Ste 305
Portland, OR 97205-2628

Phone

(503) 476-1939

Fax

(503) 444-9561

NPI assigned

Apr 18, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1245404466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 SW MORRISON ST STE 305",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052628",
            "telephone_number": "503-476-1939",
            "fax_number": "503-444-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 SW MORRISON ST STE 305",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052628",
            "telephone_number": "503-476-1939",
            "fax_number": "503-444-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORITZ",
        "first_name": "MYCHELLE",
        "credential": "MA, ATR-BC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-18",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C1950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "1017 SW Morrison St Ste 305",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972052628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ryan E Morin, CNP
• Grace Mitsu Morishita
• Rebecca K Morisse, DMD
• Peter W Morita, DMD
• Matthew T Moritz, MD
• Staci H Moritz, M.A., Q.M.H.P.
• Shinichi Moriyama, L.AC.
• Alexis Morley
• Morning Rise Treatment Homes LLC
• Pete Morones, PH.D.

• Professional Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.