MELISSA SUE NUCKLES
NPI 1336869403
Counselor - Mental Health in Portland, OR

Active since August 30, 2022
17720 NE HALSEY ST, PORTLAND, OR 97230(503) 654-7654(503) 654-7333 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2023, Aug 30, 2022 (2 updates tracked since 2022).

About Melissa Sue Nuckles NPPES

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

MELISSA SUE NUCKLES (NPI 1336869403) is an individual mental health provider in Portland, Oregon and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1336869403
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMELISSA SUE NUCKLES
Location Address17720 NE HALSEY STPortland, OR 97230-6776
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167
Fax(503) 654-7333
Sole ProprietorNo
Enumeration DateAugust 30, 2022
Last NPPES UpdateOctober 10, 20232 updates tracked since enumeration
NPPES CertifiedOctober 10, 2023
NPI 1336869403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
17720 NE HALSEY ST, Portland, OR 97230

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)
17720 NE HALSEY ST
PORTLAND, OR 97230
Counselor (Mental Health)
17720 NE HALSEY ST
PORTLAND, OR 97230
Community Based Residential Treatment Facility, Mental Illness
17720 NE HALSEY ST
PORTLAND, OR 97230
Social Worker (Clinical)
17720 NE HALSEY ST
PORTLAND, OR 97230
Counselor (Mental Health)
17720 NE HALSEY ST
PORTLAND, OR 97230
Counselor (Mental Health)
17720 NE HALSEY ST
PORTLAND, OR 97230
Counselor (Mental Health)
17720 NE HALSEY ST
PORTLAND, OR 97230
Counselor (Mental Health)
17720 NE HALSEY ST
PORTLAND, OR 97230

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 Nuckles's NPI number?

The NPI number for Melissa Nuckles is 1336869403. It was assigned to this individual provider in the NPPES registry on August 30, 2022.

Where is Melissa Nuckles located?

Melissa Nuckles practices at 17720 NE Halsey St, Portland, OR 97230. The listed phone number is (503) 654-7654.

What is Melissa Nuckles's specialty?

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

When was this NPI record last updated?

The NPPES record for Melissa Nuckles was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.