Individual provider · Type 1 NPI

Mariah Danielle Nicely

Counselor · Portland, OR

NPI number 1487247912 Active · reactivated Feb 2, 2026

Practice location

3415 SE Powell Blvd
Portland, OR 97202-3371

Call (503) 234-9591 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1487247912

Mariah Danielle Nicely's National Provider Identifier is 1487247912, issued on Feb 16, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Feb 2, 2026.