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Michael David Gracon

Counselor β€’ Mcminnville, OR

Active NPI 1912665357 Individual Practitioner Male Practitioner
Practice location in NPPES

627 Ne Evans St
Mcminnville, OR 971283923

Call 5034347523 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

627 Ne Evans St

Mcminnville, OR 971283923

Telephone 5034347523
Fax 5034349846
Organization at the Same NPPES Address or Phone
Yamhill County Facility NPI 1972669539

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Portland, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Mcminnville and Oregon

52 active clinicians are listed under Counselor with a practice address in Mcminnville, OR (4,495 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mcminnville

1.9% of these 52 clinicians have the CMS telehealth indicator.

7.7% of these 52 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-06-23
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Secondary Practice Locations

5415 Sw Westgate Dr

Portland, OR 972212409

Phone: 5036453581

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Delta Duff , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1063067908

Psychiatric-Mental Health Nurse Practitioner

Catherine Messner , MSW

Social Worker - Clinical

NPI 1144335506

Master of Social Work

Brandt Vansoolen

Counselor - Mental Health

NPI 1417512831

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location June 23, 2022

Registered at 627 NE EVANS ST, MCMINNVILLE, OR 971283923 (Tel: 5034347523)

🏒
Secondary Practice Location Registered June 23, 2022

Additional practice office at 5415 SW Westgate Dr, Portland, OR 972212409

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2022

Counselor

βœ…
NPI Profile Active December 02, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 02, 2021

Registered at 5415 SW WESTGATE DR, PORTLAND, OR 972212409 (Tel: 5036453581)

πŸ“
Business Mailing Address (Initial Record) December 02, 2021

Registered at 5415 SW WESTGATE DR, PORTLAND, OR 972212409 (Tel: 5036453581)

πŸ‘€
Provider Name / Credentials (Initial Record) December 02, 2021

Recorded as MICHAEL GRACON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2021

Case Manager/Care Coordinator

🟒
Initial NPI Registration & Enumeration December 02, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1912665357
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 02, 2021
Last Update: June 23, 2022
Sole Proprietor: Yes

Mailing Address

5415 Sw Westgate Dr

Portland, OR 972212409

Phone: 5036453581

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.