MS. MARTINE ROSE WALLENBERG MS, ED.D, LMHC, LPC
NPI 1184270621
Counselor - Mental Health in Portland, OR

Q: What is Martine Wallenberg's NPI number?

The NPI number for Martine Wallenberg is 1184270621. It was assigned to this individual provider in the NPPES registry on August 12, 2019.

Q: What is Martine Wallenberg's specialty?

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

Active since August 12, 2019PECOS EnrolledAccepts Medicare Assignment

5441 S MACADAM AVE STE R, PORTLAND, OR 97239(386) 546-4634 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 16, 2026, Aug 12, 2019 (2 updates tracked since 2019).

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About Ms. Martine Rose Wallenberg Ms, Ed.d, Lmhc, Lpc NPPES

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

MS. MARTINE ROSE WALLENBERG MS, ED.D, LMHC, LPC (NPI 1184270621) is an individual mental health provider in Portland, Oregon, licensed in Oregon (C11126) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1184270621

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. MARTINE ROSE WALLENBERGCredential: MS, ED.D, LMHC, LPC

Location Address5441 S MACADAM AVE STE RPortland, OR 97239-3822

Mailing Address5441 S Macadam Ave Ste RPortland, OR 97239-3822 · (386) 546-4634

Phone(386) 546-4634

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 12, 2019

Last NPPES UpdateApril 16, 20262 updates tracked since enumeration

NPPES CertifiedApril 16, 2026

✔ NPI 1184270621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Licenses✔ Licensed in OR · C11126✔ Licensed in FL · MH23604

5441 S MACADAM AVE STE R, Portland, OR 97239

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Ms. Martine Rose Wallenberg Ms, Ed.d, Lmhc, 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 ID4981170479

PECOS Enrollment IDI20260421004235

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 Martine Wallenberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mindful Therapy Group PC

161 mi

Clinical

6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043

Reassigned Medicare billing, Oregon enrollment
234 clinicians in this Medicare group

NPI 1316238678 (425) 640-7009

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.

SCOUT BROWN

Counselor (Mental Health)