Melissa Chamberlin, LPC INTERN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R4746 Issued in OR

Practice address

230 SW 3Rd St Ste 208a
Corvallis, OR 97333-4651

Phone

(541) 257-8664

NPI assigned

May 14, 2020

Last updated

May 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589673600000",
    "number": "1700408580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2397 NW KINGS BLVD # 191",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303986",
            "telephone_number": "541-257-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 SW 3RD ST STE 208A",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334651",
            "telephone_number": "541-257-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLIN",
        "first_name": "MELISSA",
        "credential": "LPC INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-17",
        "certification_date": "2020-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R4746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Chacon
• Alison L. Chadwick, RPH
• Caitlin Marie Chalkley, RN
• Danae Challand
• Maggie Chamberlain, PT, DPT, OCS
• Kayla Chambers
• Jenna Chamness, PHARMD
• Kelsey S Chan
• Nikki Banggo Chan
• Jessica Marie Chancey

• Mental Health Counselor in Corvallis, OR
• Providers in Corvallis, 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 May 17, 2020; 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.