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

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: August 02, 2026.

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

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Counselor (Mental Health)
5441 S MACADAM AVE STE R
PORTLAND, OR 97239
Registered Nurse (Psychiatric/Mental Health)
5441 S MACADAM AVE STE R
PORTLAND, OR 97239
Nurse Practitioner (Psychiatric/Mental Health)
5441 S MACADAM AVE STE R
PORTLAND, OR 97239
Nurse Practitioner (Psychiatric/Mental Health)
5441 S MACADAM AVE STE R
PORTLAND, OR 97239
Counselor (Mental Health)
5441 S MACADAM AVE STE R
PORTLAND, OR 97239
Marriage & Family Therapist
5441 S MACADAM AVE STE R
PORTLAND, OR 97239
Clinic/Center (Adult Mental Health)
5441 S MACADAM AVE STE R
PORTLAND, OR 97239
Counselor (Mental Health)
5441 S MACADAM AVE STE R
PORTLAND, OR 97239

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 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.

Where is Martine Wallenberg located?

Martine Wallenberg practices at 5441 S Macadam Ave Ste R, Portland, OR 97239. The listed phone number is (386) 546-4634.

What is Martine Wallenberg's specialty?

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

Is Martine Wallenberg enrolled in Medicare?

Yes. Martine Wallenberg 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.

What insurance does Martine Wallenberg accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida, Providence Health Plan and UnitedHealthcare list Martine Wallenberg 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 Martine Wallenberg was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.