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MIA PHAE
NPI 1962039602
Counselor - Mental Health in Pendleton, OR

Active since March 24, 2020
2575 WESTGATE BLDG 3, PENDLETON, OR 97801(541) 276-6330(541) 276-6295 Get Directions Write a Review

NPPES record last updated: March 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mia Phae NPPES

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

MIA PHAE (NPI 1962039602) is an individual mental health provider in Pendleton, Oregon and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1962039602
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMIA PHAE
Location Address2575 WESTGATE BLDG 3Pendleton, OR 97801-9613
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167
Phone(541) 276-6330
Fax(541) 276-6295
Sole ProprietorNo
Enumeration DateMarch 24, 2020
NPPES CertifiedMarch 24, 2020
✔ NPI 1962039602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2575 WESTGATE BLDG 3, Pendleton, OR 97801
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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.

ORKESIA M RANDLE
Counselor (Mental Health)
2575 WESTGATE BLDG 3
PENDLETON, OR 97801
Umatilla County (541) 276-6330
ROBERTO TREVINO
Counselor (Mental Health)
2575 WESTGATE BLDG 3
PENDLETON, OR 97801
Umatilla County (541) 276-6330
ZACHARY FABIAN
Counselor (Mental Health)
2575 WESTGATE BLDG 3
PENDLETON, OR 97801
Umatilla County (541) 276-6330
MRS. MELISSA BRITTON
Counselor (Mental Health)
2575 WESTGATE BLDG 3
PENDLETON, OR 97801
Umatilla County (541) 276-6330
ROBERT CULP
Counselor (Mental Health)
2575 WESTGATE BLDG 3
PENDLETON, OR 97801
Umatilla County (541) 276-6330
MANDY ADAMS
Counselor (Mental Health)
2575 WESTGATE BLDG 3
PENDLETON, OR 97801
Umatilla County (541) 276-6330
THOMAS E BAILOR
Counselor (Mental Health)
2575 WESTGATE BLDG 3
PENDLETON, OR 97801
Umatilla County (541) 276-6330
JANE ENDICOTT
Counselor (Mental Health)
2575 WESTGATE BLDG 3
PENDLETON, OR 97801
Umatilla County (541) 276-6330

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 Mia Phae's NPI number?

The NPI number for Mia Phae is 1962039602. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Mia Phae located?

Mia Phae practices at 2575 Westgate Bldg 3, Pendleton, OR 97801. The listed phone number is (541) 276-6330.

What is Mia Phae'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 Mia Phae was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.