Mary Ellen McGill, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C0984 Issued in OR

Practice address

2929 SW Multnomah Blvd Ste 104
Portland, OR 97219-4070

Phone

(503) 771-1789

Fax

(503) 236-8381

NPI assigned

Apr 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225065600000",
    "number": "1609096551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 N FARRAGUT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972176422",
            "telephone_number": "503-286-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 SW MULTNOMAH BLVD STE 104",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972194070",
            "telephone_number": "503-771-1789",
            "fax_number": "503-236-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILL",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C0984",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "4395",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYEE ID #",
            "identifier": "20-2040322",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYEE ID #",
            "identifier": "20-1147680",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margo McGehee-Kelly, M.D.
• Corbin McGehee
• Marla Jo McGeorge, DVM
• Areatae McGhee
• Kevyn Maxwell McGhee, CPO
• Stephanie McGill
• Lynda Nell McGillvrey, RN
• Mari McGilton
• Angel McGinn, RN, CLC, DOULA
• John Forest McGinnis-Feazle

• Professional Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; 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.