Evergreen Wellness Counseling LLC
NPI 1134907546ActiveOrganization· Social Worker, Clinical· Corvallis, OR
Social Worker, Clinical in Corvallis, Oregon, registered in NPPES in September 2023. The authorized official on file is Angela Mierau, LCSW, Lcsw. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1134907546 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 18, 2023 |
| Last updated in NPPES | Nov 4, 2023 |
| Certified by provider | Nov 4, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
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