MRS. MICHELLE ALEXANDRIA GOWAN YANG LPC INTERN
NPI 1770154379
Counselor - Professional in Keizer, OR
About Mrs. Michelle Alexandria Gowan Yang Lpc Intern NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MICHELLE ALEXANDRIA GOWAN YANG LPC INTERN (NPI 1770154379) is an individual professional provider in Keizer, Oregon, licensed in Oregon (R6913) and active in the NPI registry since July 2021. She has opted out of Medicare through November 7, 2026.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mrs. Michelle Alexandria Gowan Yang Lpc Intern has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 7, 2024 through November 7, 2026.
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 Michelle Yang's NPI number?
The NPI number for Michelle Yang is 1770154379. It was assigned to this individual provider in the NPPES registry on July 6, 2021.
Where is Michelle Yang located?
Michelle Yang practices at 5119 River Rd N, Keizer, OR 97303. The listed phone number is (503) 362-7487.
What is Michelle Yang's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Michelle Yang enrolled in Medicare?
No. Michelle Yang has opted out of Medicare through November 7, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Michelle Yang was last updated on July 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Michelle Alexandria Gowan Yang, LPC INTERN · NPI 1770154379
Professional provider in Keizer, Oregon. Individual provider, active in the CMS NPPES registry since July 6, 2021.
## Identity
- **NPI:** 1770154379 (Entity type: Individual)
- **Enumerated:** July 6, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** R6913 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5119 RIVER RD N, Keizer, OR 97303-5349
- **Phone:** (503) 362-7487
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through November 7, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** July 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1770154379) · Data from the CMS NPPES public registry.