Todd Mercural, PLMHP, LPC-INTERN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R6234 Issued in OR

Practice address

2545 NE 25TH Ave
Portland, OR 97212-4839

Phone

(503) 389-0550

NPI assigned

May 13, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8127/brand/1/csg/1/fhir/r4

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.

• Braided River Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, OR
  • NPI 1326806035
  NPD Authorized official
• Omaha Integrative Care, LLC

  • Clinical Social Worker
  • Omaha, NE
  • NPI 1023302247
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1568028975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 NE 25TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972124839",
            "telephone_number": "503-389-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 NE 25TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972124839",
            "telephone_number": "503-389-0550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4105 N Concord Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972173344",
            "country_code": "US",
            "telephone_number": "971-319-1356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1812 N 169th Plz",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681182809",
            "country_code": "US",
            "telephone_number": "402-934-1617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2126 N 117th Ave",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681643670",
            "country_code": "US",
            "telephone_number": "402-934-1617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCURAL",
        "first_name": "TODD",
        "credential": "PLMHP, LPC-INTERN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-13",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "11838",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R6234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rashida M Merchant, M.D.
• Tom C Merchant, DMD
• Charles Mercier
• Halle Mercier, ATC, OTC
• Alison Beth Mercural, M.D.
• Mercy Home Care Agency LLC
• Adam Merecias
• Meredith Noble Counseling LLC
• Andrew Ray Meredith, MD
• Ashlee Meredith, CMA

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.