Michele Yurgin, LPC, LMHC, NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

C6843 Issued in OR

Practice address

206 E B St
Rainier, OR 97048-2667

Phone

(971) 808-1406

NPI assigned

Sep 18, 2018

Last updated

Sep 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Greater Life Counseling

  • Mental Health Counselor
  • Rainier, OR
  • NPI 1619632460
  NPD Authorized official

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1306320023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1343",
            "city": "RAINIER",
            "state": "OR",
            "postal_code": "970481343",
            "telephone_number": "410-440-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E B ST",
            "city": "RAINIER",
            "state": "OR",
            "postal_code": "970482667",
            "telephone_number": "971-808-1406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E 8th St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986603294",
            "country_code": "US",
            "telephone_number": "971-808-1406",
            "fax_number": "971-251-7025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YURGIN",
        "first_name": "MICHELE",
        "credential": "LPC, LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "LH61102250",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C6843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500752946",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brad Strong
• Three Rivers Dental (Rainier Park Dental)
• Ruth Trenner, DC
• Edmond Arthur Vanbellinghen, D.D.S.
• Cynthia D Vogel, LCSW

• Counselor in Rainier, OR
• Providers in Rainier, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.