Active NPI
Nicole Kristine Wiegand, M.A., LMFT
- Marriage & Family Therapist
- McMinnville, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T2414
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500778757 | Medicaid | OR |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| T2414 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fir Counseling, LLC | Mental Health | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.