Individual provider Active NPI

Nicole Kristine Wiegand, M.A., LMFT

  • Marriage & Family Therapist
  • McMinnville, OR
National Provider Identifier
1548880271
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T2414 Issued in OR
Practice address
609 NE Baker St Ste 260
McMinnville, OR 97128-4950
Phone
(971) 213-5025
NPI assigned
Apr 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T2414 OR Primary
Mental Health Counselor 101YM0800X T2414 OR

Addresses

Primary practice location

609 NE Baker St Ste 260
McMinnville, OR 97128-4950

Mailing address

609 NE Baker St Ste 260
McMinnville, OR 97128-4950
Phone (971) 213-5025

Other practice location 1

7175 SW Beveland Rd Ste 200
Portland, OR 97223-8665
Phone (971) 213-5025

Other practice location 2

12909 SW 68th Pkwy Ste 100
Portland, OR 97223-8389
Phone (971) 213-5025

Other identifiers 1

IdentifierTypeStateIssuer
500778757MedicaidOR

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
I20240202000921 OR Practitioner - Marriage and Family Therapist 2466805726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fir Counseling LLCGroup PAC ID 5496108185, 3 clinicians

Practice addresses (Care Compare)

609 NE Baker St
Suite 260
McMinnville, OR 97128-4950
Phone (971) 213-5025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
T2414ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fir Counseling, LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

609 NE Baker St
Ste 260
McMinnville, OR 97128
Phone (971) 213-5025

12909 SW 68th Pkwy
Ste 100
Portland, OR 97223
Phone (971) 213-5025

7175 SW Beveland Rd
Ste 200
Tigard, OR 97223
Phone (503) 395-5122

Organizations & group practices 1

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": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1548880271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 NE BAKER ST STE 260",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284950",
            "telephone_number": "971-213-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 NE BAKER ST STE 260",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284950",
            "telephone_number": "971-213-5025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7175 SW Beveland Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972238665",
            "country_code": "US",
            "telephone_number": "971-213-5025",
            "fax_number": "971-228-5431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12909 SW 68th Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972238389",
            "country_code": "US",
            "telephone_number": "971-213-5025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEGAND",
        "first_name": "NICOLE",
        "middle_name": "KRISTINE",
        "credential": "M.A., LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T2414",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "T2414",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500778757",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

Verify at the official NPI Registry.