MARTY MICHELSON (LPC) – Mental Health Counselor, NPI 1831717800

MARTY MICHELSON (LPC) is a healthcare provider. based in Mcminnville, Oregon. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. C7494 (OR). The NPI Number for MARTY MICHELSON (LPC) is 1831717800

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MARTY MICHELSON (LPC)
NPI
1831717800
Phone
(503) 435-4840
Address
609 NE BAKER ST STE 208
Enumeration Date
7 July 2020
Last Update Date
20 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5419213584
Graduation Year
2009 (17 years ago)
PAC ID
2567983604
Group Practice PAC ID
6608284385
Professional Enrollment ID
I20250305003904
Address ID
OR973674464LI2600X101X401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:5State licenses:3Digital endpointsOther names

1,181 MENTAL HEALTH COUNSELOR in OR

Provider Addresses for MARTY MICHELSON (LPC)

  • 609 NE BAKER ST STE 208

    MCMINNVILLE, OR 971284946

    Phone: (503) 435-4840

    Fax: (503) 200-1416

    Type: Mailing

  • 2600 NE Highway 101 Ste 200

    Lincoln City, OR 973674464

    Phone: (541) 921-3584

    Fax: (541) 614-1291

    Type: Location

  • 1435 NE 10TH ST

    LINCOLN CITY, OR 973673401

    Phone: (541) 521-5216

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250305003904IMental Health CounselorORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97128)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608284385View full group profile
NameSpecialtyState
Nurse PractitionerOR
Nurse PractitionerOR
Mental Health CounselorOR
Nurse PractitionerOR
Nurse PractitionerOR

Reviews

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Frequently asked questions

Does MARTY MICHELSON (LPC) have a public NPI I can cite?
Public records show MARTY MICHELSON (LPC) under NPI 1831717800.
Should I treat MARTY MICHELSON (LPC) as an active provider?
Patients and plans typically see MARTY MICHELSON (LPC) as active in the national extract.
What type of care does MARTY MICHELSON (LPC) provide?
MARTY MICHELSON (LPC)'s profile centers on Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is MARTY MICHELSON (LPC) tied to Mcminnville, Oregon?
If you are local to Mcminnville, Oregon, MARTY MICHELSON (LPC) may be relevant to your search.
Why is information missing for MARTY MICHELSON (LPC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.