Individual provider Active NPI

Melissa Herndon, LPC

  • Mental Health Counselor
  • Keizer, OR
National Provider Identifier
1306225503
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C5253 Issued in OR
Practice address
6917 Fenwick CT N
Keizer, OR 97303-4327
Phone
(775) 443-0406
NPI assigned
May 21, 2015
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C5253 OR Primary
Professional Counselor 101YP2500X C5253 OR

Addresses

Primary practice location

6917 Fenwick CT N
Keizer, OR 97303-4327

Mailing address

6917 Fenwick CT N
Keizer, OR 97303
Phone (503) 390-5637

Other names 1

  • Melissa Wurster Former name

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
I20240814003497 OR Practitioner - Mental Health Counselor 4981142528 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling With Melissa CurrentSince Nov 3, 2024 Accepting new patients
Options Counseling Services of Oregon Mental Health CurrentSince Jun 13, 2024 Accepting new patients

Locations

360 E 10th Ave
Ste 450
Eugene, OR 97401

11010 SE Division St
Ste 202
Portland, OR 97266
Phone (503) 335-5975

2645 Portland Rd NE
Ste 120
Salem, OR 97301

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1306225503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6917 FENWICK CT N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "97303",
            "telephone_number": "503-390-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6917 FENWICK CT N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034327",
            "telephone_number": "775-443-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNDON",
        "first_name": "MELISSA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-21",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C5253",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C5253",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "WURSTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Keizer, OR

Sources for this page

Verify at the official NPI Registry.