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

Mr. Michael Russell Revell, LPC

Individual provider Counselor · NPI 1053757880

Mr. Michael Russell Revell, LPC is a Counselor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon and Washington.

Licensed in
OR, WA
In the registry since
2013
Specialties on file
9
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

3811 SW Troy St
Portland, OR 97219-1664
Phone: (503) 479-8605
Fax: (971) 339-7047
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Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence C6991 (OR)
Counselor Taxonomy 101Y00000X · Licence 60961479 (WA)
Counselor Taxonomy 101Y00000X · Licence 6991 (OR)
Counselor Taxonomy 101Y00000X · Licence R6261 (OR)
Counselor Taxonomy 101Y00000X · Licence C6991 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence R6261 (OR)
Professional Counselor Taxonomy 101YP2500X · Licence 6991 (OR)
Professional Counselor Taxonomy 101YP2500X · Licence C6991 (OR)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1053757880
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedMay 20, 2013
Last updated in NPPESMarch 6, 2023
Certification dateMarch 6, 2023

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