Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Michele Tantriella-Modell, LPC

Individual provider Mental Health Counselor · NPI 1376828772

MS. Michele Tantriella-Modell, LPC is a Mental Health Counselor in Eugene, Oregon. Qualified in 1996, 30 years ago. Practices with Amber Benson PMHNP PC, a 24-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
30
Licensed in
OR
In the registry since
2011
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

66 Club Rd Ste 160
Eugene, OR 97401-2439
Phone: (541) 345-1722
Fax: (541) 485-7049
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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 C1796 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence C1796 (OR)

Record details

NPI number1376828772
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedOctober 17, 2011
Last updated in NPPESNovember 14, 2023
Certification dateNovember 14, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Amber Benson Pmhnp Pc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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