Active NPI
Mary Ellen Langston, PHD,LPC,NCC,CADCIII
- Professional Counselor
- Seaside, OR
National Provider Identifier
1619289576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C1701
- Practice address
- 2245 N Wahanna Rd
Seaside, OR 97138-7833 - Phone
- (503) 791-3181
- NPI assigned
- Jul 8, 2010
- Last updated
- Oct 1, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 030355 | OR | |
| Mental Health Counselor | 101YM0800X | C1701 | OR | |
| Professional Counselor | 101YP2500X | C1701 | OR | Primary |
Addresses
Primary practice location
2245 N Wahanna Rd
Seaside, OR 97138-7833
Mailing address
5 N Highway 101
# 349
Warrenton, OR 97146-9313
Phone (503) 791-3181
Other names 1
- Mary Ellen Womack
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030355 | OR | MD | Addiction (Substance Use Disorder) Counselor |
| C1701 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mel Langston Professional Services, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Seaside, OR
- NPI 1851642706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1619289576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 N HIGHWAY 101",
"address_2": "# 349",
"city": "WARRENTON",
"state": "OR",
"postal_code": "971469313",
"telephone_number": "503-791-3181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2245 N WAHANNA RD",
"city": "SEASIDE",
"state": "OR",
"postal_code": "971387833",
"telephone_number": "503-791-3181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGSTON",
"first_name": "MARY",
"middle_name": "ELLEN",
"credential": "PHD,LPC,NCC,CADCIII",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-08",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "030355",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C1701",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "WOMACK",
"middle_name": "ELLEN",
"credential": "MA, NCC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Seaside, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.