Individual provider · Type 1 NPI

Michael Charles Ernberger, MSW, CRM, QMHA

Mental Health Counselor · Portland, OR

NPI number 1295508703 Active

Practice location

14355 N Bybee Lake Ct
Portland, OR 97203-6495

Fax (503) 740-1971

Mailing address

10117 SE Sunnyside Rd # F1217
Clackamas, OR 97015-7708

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000X26-CRM-5572 (OR)
Mental Health Counselor Primary 101YM0800X26-QMHP-R-4453 (OR)
Addiction (Substance Use Disorder) Counselor 101YA0400XT-25-5972 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1295508703

Michael Charles Ernberger, MSW, CRM, QMHA's National Provider Identifier is 1295508703, issued on Nov 6, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Oct 29, 2026.