Active NPI
MB Counseling LLC
- Clinical Social Worker
- La Grande, OR
National Provider Identifier
1457031452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MB COUNSELING LLC
- Practice address
- 62107 Fruitdale LN
La Grande, OR 97850 - Phone
- (541) 910-9124
- NPI assigned
- Jul 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Brown, LCSW
- Title
- Owner/Provider
- Phone
- (541) 910-9124
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
62107 Fruitdale LN
La Grande, OR 97850
Mailing address
62107 Fruitdale LN
La Grande, OR 97850-5313
Phone (541) 910-9124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251001004670 | OR | Part B Supplier - Clinic/Group Practice | 3274033873 |
Receives reassigned benefits from 2 practitioners Practice locations: La Grande, OR |
National Provider Directory
National Provider DirectoryLocations
1119 Washington Ave
La Grande, OR 97850
Phone (503) 963-7432
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Enterprise, OR
- NPI 1144796178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787097600000",
"number": "1457031452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62107 FRUITDALE LN",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978505313",
"telephone_number": "541-910-9124",
"fax_number": "360-844-5184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62107 FRUITDALE LN",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "97850",
"telephone_number": "541-910-9124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MB COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-24",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "541-910-9124",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Grande, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.