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MR. MICHAEL RUSSELL REVELL LPC
NPI 1053757880
Counselor - Mental Health in Portland, OR

Active since May 20, 2013
3811 SW TROY ST, PORTLAND, OR 97219(503) 479-8605(971) 339-7047 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2023, Sep 1, 2022, Feb 2, 2022 and 1 more (4 updates tracked since 2019).

About Mr. Michael Russell Revell Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL RUSSELL REVELL LPC (NPI 1053757880) is an individual mental health provider in Portland, Oregon, licensed in Oregon (C6991) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1053757880
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. MICHAEL RUSSELL REVELLCredential: LPC
Location Address3811 SW TROY STPortland, OR 97219-1664
Mailing Address3811 Sw Troy StPortland, OR 97219-1664 · (503) 479-8605 · Fax (971) 339-7047
Phone(503) 479-8605
Fax(971) 339-7047
Sole ProprietorYes
Enumeration DateMay 20, 2013
Last NPPES UpdateMarch 6, 20234 updates tracked since enumeration
NPPES CertifiedMarch 6, 2023
✔ NPI 1053757880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in OR · C6991✔ Licensed in OR · R6261
Also ListedCounselorTaxonomy 101Y00000X · License 60961479 (WA), 6991 (OR), R6261 (OR), C6991 (OR)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 6991 (OR), C6991 (OR)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3811 SW TROY ST, Portland, OR 97219
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Revell's NPI number?

The NPI number for Michael Revell is 1053757880. It was assigned to this individual provider in the NPPES registry on May 20, 2013.

Where is Michael Revell located?

Michael Revell practices at 3811 SW Troy St, Portland, OR 97219. The listed phone number is (503) 479-8605.

What is Michael Revell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Michael Revell accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Michael Revell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Revell was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.