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TIMOTHY IDE LPC
NPI 1023544020
Counselor - Professional in Mcminnville, OR

Active since May 11, 2017PECOS Enrolled
609 NE BAKER ST STE 260, MCMINNVILLE, OR 97128(971) 213-5025 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 5, 2026, Mar 4, 2024, May 11, 2017 (3 updates tracked since 2017).

About Timothy Ide Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY IDE LPC (NPI 1023544020) is an individual professional provider in Mcminnville, Oregon, licensed in Oregon (C7975) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1023544020
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameTIMOTHY IDECredential: LPC
Location Address609 NE BAKER ST STE 260Mcminnville, OR 97128-4950
Mailing Address609 Ne Baker St Ste 260Mcminnville, OR 97128-4950 · (971) 213-5025
Phone(971) 213-5025
Sole ProprietorYes
Enumeration DateMay 11, 2017
Last NPPES UpdateJune 5, 20263 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1023544020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C7975
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
609 NE BAKER ST STE 260, Mcminnville, OR 97128
Open in Google Maps ↗

Secondary Practice Location 1

Location 112909 SW 68th Pkwy Ste 100Portland, OR 97223-8389 · Phone (971) 213-5025

Other Identifiers 1

Medicaid500725204OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Ide Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Timothy Ide reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fir Counseling, LLC
Same address
Professional
609 NE BAKER ST STE 260
Mcminnville, OR 97128
  • Reassigned Medicare billing, Oregon enrollment
  • 9 clinicians in this Medicare group
NPI 1548937337 (971) 248-5367

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH LESSEN
Counselor (Mental Health)
609 NE BAKER ST STE 260
MCMINNVILLE, OR 97128
Yamhill County (971) 402-9066
MRS. DEBORAH L DAVIS LPC
Counselor (Professional)
609 NE BAKER ST STE 260
MCMINNVILLE, OR 97128
Yamhill County (971) 213-5025
ELISE GAGNIER
Counselor (Mental Health)
609 NE BAKER ST STE 260
MCMINNVILLE, OR 97128
Yamhill County (971) 213-5025
JESSI JAYNE LANDWEHR
Marriage & Family Therapist
609 NE BAKER ST STE 260
MCMINNVILLE, OR 97128
Yamhill County (971) 213-5025
JENNIFER POND LPC
Counselor (Professional)
609 NE BAKER ST STE 260
MCMINNVILLE, OR 97128
Yamhill County (971) 213-5025
LAUREN A BINGHAM MA, LPC
Counselor (Professional)
609 NE BAKER ST STE 260
MCMINNVILLE, OR 97128
Yamhill County (971) 213-5025
MICHELE MARIE CRAWLEY-WITHEE MS, LPC, NCC, CADC I
Counselor (Professional)
609 NE BAKER ST STE 260
MCMINNVILLE, OR 97128
Yamhill County (971) 213-5025
MEGAN NICOLE CORNELIUS CSWA, MSA, BS
Social Worker
609 NE BAKER ST STE 260
MCMINNVILLE, OR 97128
Yamhill County (971) 213-5025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Ide's NPI number?

The NPI number for Timothy Ide is 1023544020. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Timothy Ide located?

Timothy Ide practices at 609 NE Baker St Ste 260, Mcminnville, OR 97128. The listed phone number is (971) 213-5025.

What is Timothy Ide's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Timothy Ide enrolled in Medicare?

Yes. Timothy Ide is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Timothy Ide's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Ide reassigns Medicare benefits to Fir Counseling, LLC (Mcminnville, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Ide's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Ide accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Timothy Ide as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Ide was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.