Active NPI
Melissa K Utz, LPC
- Professional Counselor
- Sherwood, OR
National Provider Identifier
1417590282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C5479
- Practice address
- 20510 SW Roy Rogers Rd Unit 302
Sherwood, OR 97140-9320 - Phone
- (503) 765-6361
- NPI assigned
- Oct 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C5479 | OR | Primary |
Addresses
Primary practice location
20510 SW Roy Rogers Rd Unit 302
Sherwood, OR 97140-9320
Mailing address
20510 SW Roy Rogers Rd Unit 302
Sherwood, OR 97140-9320
Phone (503) 765-6361
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5479 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1417590282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20510 SW ROY ROGERS RD UNIT 302",
"city": "SHERWOOD",
"state": "OR",
"postal_code": "971409320",
"telephone_number": "503-765-6361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20510 SW ROY ROGERS RD UNIT 302",
"city": "SHERWOOD",
"state": "OR",
"postal_code": "971409320",
"telephone_number": "503-765-6361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UTZ",
"first_name": "MELISSA",
"middle_name": "K",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-23",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C5479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherwood, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.