MS. MICHELLE ANNE FITZ (NPI# 1477621464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477621464 |
| Entity Type | Individual |
| Full Name | MS. MICHELLE ANNE FITZ |
| Credential | M.ED. |
| Practice Address |
2410 Se 121st Ave Suite 216 Portland OR 97216-4066 |
| Practice Telephone | 5033355975 |
| Practice Fax Number | 5033355974 |
| Mailing Telephone | 5033355975 |
| Mailing Fax Number | 5033355974 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2008-02-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
2410 SE 121ST AVE SUITE 216 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216-4066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790092559 | Tabitha Leeann Jenner | Counselor | 2410 Se 121st Ave, #216, Portland, OR 97216-4066 | 2010-09-01 |
| 1871819110 | Robert Taylor Ensign | Counselor | 2410 Se 121st Ave, Portland, OR 97216-4066 | 2010-04-12 |
| 1811139355 | Michele Rainier | Counselor | 2410 Se 121st Ave, #216, Portland, OR 97216-4066 | 2009-03-30 |
| 1992968341 | Chloe Vaughn | Counselor | 2410 Se 121st Ave, Suite 216, Portland, OR 97216-4066 | 2008-07-07 |
| 1083871743 | Sam David Gillam | Counselor | 2410 Se 121st Ave, Portland, OR 97216-4066 | 2008-05-20 |
| 1316111404 | Laurie Louise Crandall-bass | Counselor | 2410 Se 121st Ave, #216, Portland, OR 97216-4066 | 2008-04-18 |
| 1245415298 | Jamie L. Stocker | Counselor | 2410 Se 121st Ave, Suite 216, Portland, OR 97216-4066 | 2008-01-08 |
| 1285815225 | Janelle L Jones | Counselor | 2410 Se 121st Ave, #216, Portland, OR 97216-4066 | 2007-11-19 |
| 1235254442 | Jasmine Phoung-hanh Nguyen | Counselor | 2410 Se 121st Ave, Suite 216, Portland, OR 97216-4066 | 2007-03-20 |
| 1558496299 | Christopher Jan Verschuyl | Social Worker | 2410 Se 121st Ave, Suite 216, Portland, OR 97216-4066 | 2007-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
| 1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
| 1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
| Find all providers in zip 97216 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082061 | Kelsey Miller | Marriage & Family Therapist | 5515 N Williams Ave, Portland, OR 97217-2452 | 2020-07-31 |
| 1255959631 | Veronica Terese Valdez | Marriage & Family Therapist | 4445 S Barbur Blvd Ste 205, Portland, OR 97239-4047 | 2020-07-11 |
| 1649896630 | Moving Forward Staying Present LLC | Marriage & Family Therapist | 8083 Se 13th Ave Ste 3, Portland, OR 97202-6668 | 2020-06-25 |
| 1669001723 | Jennifer Melissa Moss | Marriage & Family Therapist | 12356 Ne Brazee St, Portland, OR 97230-1841 | 2020-04-02 |
| 1174153225 | Amanda Fitzpatrick | Marriage & Family Therapist | 5410 Sw Macadam Ave Ste 250, Portland, OR 97239-3807 | 2020-01-16 |
| 1679114003 | Craig Cardamone Individual and Relational Therapy Pllc | Marriage & Family Therapist | 12 Kellogg St Apt 1, Portland, ME 04101-4375 | 2019-10-07 |
| 1538716816 | Ayala Parker | Marriage & Family Therapist | 3540 Sw Boundary St, Portland, OR 97221-3817 | 2019-08-21 |
| 1720648363 | Alicia Roshelle Turgesen | Marriage & Family Therapist | 835 Se Stephens St Ste 202, Portland, OR 97214-4636 | 2019-06-17 |
| 1194281477 | Shelbee Louise Leach Macomber | Marriage & Family Therapist | 1520 Westbrook St, Portland, ME 04102-1621 | 2019-02-12 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.