Melanie Marie Lundeberg

Individual provider Active NPI Mental Health Counselor · Boardman, OR

NPI 1992463491 · NPPES record last updated Dec 1, 2021

Key facts

NPI: 1992463491
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
Practice address: 104 Kinkade Rd
Boardman, OR 97818
Phone: (541) 481-2911
NPI assigned: Dec 1, 2021
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Community Counseling Solutions Addiction (Substance Use Disorder) Counselor · Heppner, OR · NPI 1578501771

NPD (past) MENTAL HEALTH

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Community Counseling Solutions	Mental Health	Past since Dec 5, 2021	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X			Yes

Addresses

Primary practice location

104 Kinkade Rd
Boardman, OR 97818

Mailing address

320 NE Columbia Ave Apt 106C
Boardman, OR 97818-9515
Phone (503) 586-4514

Other names

Ms. Melanie Marie Tegner Former name

Other providers in Boardman, OR

All providers in Boardman, OR · Mental Health Counselor in Oregon

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.