Marty Michelson, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C7494 Issued in OR

Practice address

1435 NE 10TH St
Lincoln City, OR 97367-3401

Phone

(541) 521-5216

NPI assigned

Jul 7, 2020

Sex

Male

Sole proprietor

No

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

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Christine Lynn McCambridgeGroup PAC ID 6608284385, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Christine Lynn McCambridge

  • Psychiatric/Mental Health Nurse Practitioner
  • Lincoln City, OR
  • NPI 1619570322
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1831717800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 NE 10TH ST",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973673401",
            "telephone_number": "541-521-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 NE 10TH ST",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973673401",
            "telephone_number": "541-521-5216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 NE Highway 101 Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lincoln City",
            "state": "OR",
            "postal_code": "973674464",
            "country_code": "US",
            "telephone_number": "541-921-3584",
            "fax_number": "541-614-1291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHELSON",
        "first_name": "MARTY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-07",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C7494",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0018657",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61252591",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda McAllister, RN
• Christine Lynn McCambridge, PMHNP-BC
• Jeffrey H McDonald, MD
• Kenneth Randall McEvers, DC
• Jacob Lane Merritt, MA
• Dean W Mickelson, RPH
• John G Mickelson, DO
• Nicholas Miller, DPT
• Charito Apolonio Mina, P.T.
• Suji Moon, PHARMD

• Mental Health Counselor in Lincoln City, OR
• Providers in Lincoln City, 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 Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.