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MELISSA MIRACLE LPC
NPI 1073219077
Counselor - Professional in Tualatin, OR

Active since February 01, 2023PECOS EnrolledAccepts Medicare Assignment
18765 SW BOONES FERRY RD STE 100, TUALATIN, OR 97062(503) 612-1000 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Melissa Miracle Lpc NPPES

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

MELISSA MIRACLE LPC (NPI 1073219077) is an individual professional provider in Tualatin, Oregon, licensed in Oregon (C3456) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1073219077
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMELISSA MIRACLECredential: LPC
Location Address18765 SW BOONES FERRY RD STE 100Tualatin, OR 97062-8607
Mailing Address29304 Sw Brown RdWilsonville, OR 97070-3008
Phone(503) 612-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateFebruary 1, 2023
NPPES CertifiedFebruary 1, 2023
✔ NPI 1073219077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C3456
18765 SW BOONES FERRY RD STE 100, Tualatin, OR 97062
Open in Google Maps ↗

Other Identifiers 1

OtherC3456OR · Lpc

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melissa Miracle Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496269656
PECOS Enrollment IDI20250709002567
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Melissa Miracle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Western Psychological And Counseling Services LLC
129 mi
Clinical
2420 S UNION AVE
Tacoma, WA 98405
  • Reassigned Medicare billing, Oregon enrollment
  • 314 clinicians in this Medicare group
NPI 1912008178 (253) 752-7320

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACQUEL CHERIE KAVANAUGH
Case Manager/Care Coordinator
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Washington County (971) 341-4841
ALEXANDER CRISCUOLO
Behavior Technician
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Washington County (503) 612-1000
MATTHEW LEWIS KAMERY
Behavior Analyst
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Washington County (503) 612-1000
SOPHIE STONE
Behavior Technician
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Washington County (503) 612-1000
MIRNA TORRES CISNEROS, BAI
Behavior Technician
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Washington County (503) 612-1000
WESTERN PSYCHOLOGICAL AND COUNSELING SERVICES LLC
Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Washington County (503) 612-1000
CATHERINE JANE BARRETT
Behavior Technician
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Washington County (503) 612-1000
NATALIE LAUREN SAMUELS
Behavior Analyst
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Washington County (503) 612-1000

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 Melissa Miracle's NPI number?

The NPI number for Melissa Miracle is 1073219077. It was assigned to this individual provider in the NPPES registry on February 1, 2023.

Where is Melissa Miracle located?

Melissa Miracle practices at 18765 SW Boones Ferry Rd Ste 100, Tualatin, OR 97062. The listed phone number is (503) 612-1000.

What is Melissa Miracle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Melissa Miracle enrolled in Medicare?

Yes. Melissa Miracle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Melissa Miracle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Miracle reassigns Medicare benefits to Western Psychological And Counseling Services LLC (Tacoma, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melissa Miracle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Miracle accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Melissa Miracle 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 Melissa Miracle was last updated on February 1, 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.