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

Mrs. Mary M Elsethagen, LPC

Individual provider Mental Health Counselor · NPI 1336154012

Mrs. Mary M Elsethagen, LPC is an Undefined Non-Physician Type (Specify) in Boardman, Oregon. Qualified in 1998, 28 years ago. Registered with an NPI since 2006.

Years since qualifying
28
In the registry since
2006
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

101 NW Boardman Ave
Boardman, OR 97818
Phone: (541) 481-2911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1336154012
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedJuly 30, 2006
Last updated in NPPESNovember 4, 2009

Medicare enrollment

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

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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