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

Individual provider Mental Health Counselor · NPI 1891749941

Melanie B Mamola, PROFCOUNSELORASS is a Mental Health Counselor in Beaverton, Oregon. Qualified in 2022, 4 years ago. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

9670 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005-3307
Phone: (971) 229-4009
Fax: (866) 324-6009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C11222 (OR)
Mental Health Counselor Taxonomy 101YM0800X (OR)

Record details

NPI number1891749941
Entity typeIndividual (Type 1)
GenderFemale
Credentials PROFCOUNSELORASS
Sole proprietorNo
NPI enumeratedMay 22, 2006
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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