Individual provider Active NPI

Michelle La Casse, LPC

  • Counselor
  • Albany, OR
National Provider Identifier
1407348667
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
425 2ND Ave SW Ste 102
Albany, OR 97321-2483
Phone
(541) 286-3209
Fax
(541) 704-0040
NPI assigned
Jun 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

425 2ND Ave SW Ste 102
Albany, OR 97321-2483

Mailing address

425 2ND Ave SW Ste 102
Albany, OR 97321-2483
Phone (541) 286-3209

Other identifiers 1

IdentifierTypeStateIssuer
C9675OtherORLICENSE

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
I20250318003482 OR Practitioner - Mental Health Counselor 2264954379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reclaim Life LLCGroup PAC ID 7416293493, 7 clinicians

Practice addresses (Care Compare)

425 2ND Ave SW
Suite 102
Albany, OR 97321-2483
Phone (541) 286-3209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reclaim Life, LLC CurrentSince Mar 11, 2025 Accepting new patients
Marion County PastSince Nov 1, 2021 Accepting new patients

Locations

425 2nd Ave SW
Ste 102
Albany, OR 97321
Phone (541) 286-3209

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1407348667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 2ND AVE SW STE 102",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973212483",
            "telephone_number": "541-286-3209",
            "fax_number": "541-704-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 2ND AVE SW STE 102",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973212483",
            "telephone_number": "541-286-3209",
            "fax_number": "541-704-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA CASSE",
        "first_name": "MICHELLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "C9675",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

Verify at the official NPI Registry.