Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal Rose Wiss

Individual provider Professional Counselor · NPI 1265262612

Crystal Rose Wiss is a Mental Health Counselor in Lebanon, Oregon. Qualified in 2009, 17 years ago. Practices with Conifer Wellness Inc, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
17
Licensed in
OR
In the registry since
2024

Practice location Address checks out

1600 S Main St
Lebanon, OR 97355-3109
Phone: (541) 451-5932
Fax: (541) 812-8807
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C8013 (OR)

Record details

NPI number1265262612
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 1, 2024
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024
Mailing addressPo Box 100, Albany, OR 97321-0031

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Conifer Wellness Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lebanon