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

MS. Martine Rose Wallenberg, MS, EDD, LMHC, LPC

Individual provider Mental Health Counselor · NPI 1184270621

MS. Martine Rose Wallenberg, MS, EDD, LMHC, LPC is a Mental Health Counselor in Portland, Oregon. Qualified in 2016, 10 years ago. Practices with Mindful Therapy Group PC, a 646-clinician group and accepts Medicare assignment. Licensed in Florida and Oregon.

Years since qualifying
10
Licensed in
FL, OR
In the registry since
2019
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
EDD — Doctor of Education
A doctorate in education.
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

5441 S Macadam Ave Ste R
Portland, OR 97239-3822
Phone: (386) 546-4634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence C11126 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence MH23604 (FL)

Record details

NPI number1184270621
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , EDD , LMHC , LPC
Sole proprietorYes
NPI enumeratedAugust 12, 2019
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mindful Therapy Group Pc — 646 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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