Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639560576 Individual Practitioner Male Practitioner

Michael Lawrence Wilson , MA

Counselor • Portland, OR

Professional Overview & Biography Verified Profile Summary

Michael Wilson, MA is a registered healthcare professional specializing in Counselor in Portland, OR. Practice services are available at 709 NW EVERETT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

709 Nw Everett St

Portland, OR 972093517

Telephone 5032264060
Fax 5034454913
Associated Practice Facility / Clinic
🏢 Central City Concern, Inc. Facility NPI 1487944179

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.6 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
1444 Specialists

Practicing in Portland, OR (4551 Statewide)

Telehealth Adoption Rate
0.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OR L6028

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License OR L6028

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License OR L6028

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Jammie Trimble , QMHA

Case Manager/Care Coordinator

NPI 1053693168
Justin Anderson , MA

Counselor - Mental Health

NPI 1073841771

Master of Arts

Ervin Hester

Peer Specialist

NPI 1083313472
Candia Elliott , CADC II

Counselor - Addiction (Substance Use Disorder)

NPI 1093018459

CADCII

Mark Herrin

Case Manager/Care Coordinator

NPI 1164733853
Brandon Womack-Meyer , BS, CADC I, QHMA

Counselor - Addiction (Substance Use Disorder)

NPI 1215071782

Bachelor of Science, CADCI, QHMA

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 18, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 18, 2015

Registered at 709 NW EVERETT ST, PORTLAND, OR 972093517 (Tel: 5032264060)

📍
Updated Business Mailing Address February 18, 2015

Registered at 232 NW 6TH AVE, PORTLAND, OR 972093609 (Tel: 5032941681)

👤
Provider Name / Credentials Updated February 18, 2015

Recorded as MICHAEL WILSON, M.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2015

Counselor (License #L6028 in OR)

🟢
Initial NPI Registration & Enumeration February 13, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639560576
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2015
Last Update: February 18, 2015
Sole Proprietor: No

Mailing Address

232 Nw 6th Ave

Portland, OR 972093609

Phone: 5032941681

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.