Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992103451 Individual Practitioner Male Practitioner

Sean Alexander Mickelson , MS, LPC

Counselor - Professional • Salem, OR

Professional Overview & Biography Verified Profile Summary

Sean Mickelson, MS, LPC is a registered healthcare professional specializing in Counselor - Professional in Salem, OR. Practice services are available at 1515 LIBERTY ST SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1515 Liberty St Se

Salem, OR 973024345

Telephone 5039516280
Fax 5034683130

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Salem, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.4 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
180 Specialists

Practicing in Salem, OR (2601 Statewide)

Telehealth Adoption Rate
3.3% 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

CMS Verified: 2021-06-15
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OR C6214

Definition to come...

Practice Associates & Co-Workers

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

15 Associated Practitioners
Thomas Dooley , MS, LPC, CRC

Counselor - Professional

NPI 1003331943

Master of Science, Licensed Professional Counselor, Certified Rehabilitation Counselor

Alexander Brock , MS

Counselor - Mental Health

NPI 1114438181

Master of Science

Kelsey Entz

Counselor - Mental Health

NPI 1275077521
Sarah Woolley , MA, LPC, ATR-P

Counselor - Professional

NPI 1295231108

Master of Arts, Licensed Professional Counselor, ATRP

Monica Brillig

Counselor - Mental Health

NPI 1306734199
Ricardo Mansur

Counselor - Mental Health

NPI 1427637388

Career & Practice History Timeline

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

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2021

Counselor (License #C6214 in OR)

📍
Updated Practice Location June 14, 2021

Registered at 1515 LIBERTY ST SE, SALEM, OR 973024345 (Tel: 5039516280)

📍
Updated Business Mailing Address June 14, 2021

Registered at 1515 LIBERTY ST SE, SALEM, OR 973024345 (Tel: 5039516280)

👤
Provider Name / Credentials Updated June 14, 2021

Recorded as SEAN MICKELSON, MS, LPC

NPI Profile Active January 27, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 27, 2016

Registered at 358 S OAKDALE AVE, MEDFORD, OR 975013131 (Tel: 5417760497)

📍
Updated Business Mailing Address January 27, 2016

Registered at 358 S OAKDALE AVE, MEDFORD, OR 975013131 (Tel: 5417760497)

👤
Provider Name / Credentials Updated January 27, 2016

Recorded as SEAN MICKELSON, M.S., QMHP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2016

Counselor

🟢
Initial NPI Registration & Enumeration December 16, 2014

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: 1992103451
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 16, 2014
Last Update: June 15, 2021
Sole Proprietor: No

Mailing Address

1515 Liberty St Se

Salem, OR 973024345

Phone: 5039516280

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.