Individual provider Active NPI

Molz Wirtz-Wold, LMHC, LPC

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1639579154
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60344737 Issued in WA
Practice address
5651 N Lombard St
Portland, OR 97203-4268
Phone
(208) 907-1625
Fax
(206) 267-0283
NPI assigned
Sep 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C6618 OR
Mental Health Counselor 101YM0800X LH60344737 WA Primary

Addresses

Primary practice location

5651 N Lombard St
Portland, OR 97203-4268

Mailing address

5721 N Bowdoin St
Portland, OR 97203-4101
Phone (206) 200-3241

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

State licenses

LicenseStateTypeSpecialty
C6618ORMDMental Health Counselor
LH60344737WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1639579154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 N BOWDOIN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972034101",
            "telephone_number": "206-200-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 N LOMBARD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972034268",
            "telephone_number": "208-907-1625",
            "fax_number": "206-267-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRTZ-WOLD",
        "first_name": "MOLZ",
        "credential": "LMHC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C6618",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60344737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.