Michele Vangelas, LPC, LMHC
Individual provider Active NPI Counselor · Dufur, OR
NPI 1396368684 · NPPES record last updated Oct 23, 2024
Key facts
- NPI
- 1396368684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 313 NE Williams St
Dufur, OR 97021 - Phone
- (907) 799-6476
- NPI assigned
- May 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202670 | AK | MD | Counselor |
| LCPC-10369 | ID | MD | Counselor |
| C8381 | OR | MD | Counselor |
| LH61552694 | WA | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C8381 | OR | |
| Counselor | 101Y00000X | 202670 | AK | |
| Counselor | 101Y00000X | LH61552694 | WA | |
| Counselor | 101Y00000X | LCPC-10369 | ID | |
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
313 NE Williams St
Dufur, OR 97021
Mailing address
PO Box 172
Dufur, OR 97021-0172
Phone (907) 799-6476
Other practice location 1
1867 Airport Way Ste 110B
Fairbanks, AK 99701-4054
Phone (907) 799-6476
Other providers in Dufur, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.