Active NPI
Margery Ellen Segal, LPC
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1508254194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C9542
- Practice address
- 3407 S Corbett Ave
Portland, OR 97239-4621 - Phone
- (802) 324-1731
- NPI assigned
- Jan 5, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C9542 | OR | Primary |
| Mental Health Counselor | 101YM0800X | 84460 | TX |
Addresses
Primary practice location
3407 S Corbett Ave
Portland, OR 97239-4621
Mailing address
7806 N Washburne Ave
Portland, OR 97217-5946
Phone (802) 324-1731
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 |
|---|---|---|---|
| C9542 | OR | MD | Mental Health Counselor |
| 84460 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1508254194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7806 N WASHBURNE AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972175946",
"telephone_number": "802-324-1731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3407 S CORBETT AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972394621",
"telephone_number": "802-324-1731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGAL",
"first_name": "MARGERY",
"middle_name": "ELLEN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-05",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C9542",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "84460",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.