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PATTY J KOKER LCSW
NPI 1053887109
Counselor - Mental Health in Corvallis, OR

Active since October 16, 2018PECOS Enrolled
530 NW 27TH ST, CORVALLIS, OR 97330(541) 766-6835 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 1, 2022, Sep 6, 2019, Oct 16, 2018 (3 updates tracked since 2018).

About Patty J Koker Lcsw NPPES

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

PATTY J KOKER LCSW (NPI 1053887109) is an individual mental health provider in Corvallis, Oregon and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Salem.

NPPES Registry Identity

NPI1053887109
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NamePATTY J KOKERCredential: LCSW
Location Address530 NW 27TH STCorvallis, OR 97330-5223
Mailing Address2042 Sw Kendra StCorvallis, OR 97333-2266 · (541) 974-5835
Phone(541) 766-6835
Sole ProprietorNo
Enumeration DateOctober 16, 2018
Last NPPES UpdateMarch 1, 20223 updates tracked since enumeration
NPPES CertifiedMarch 1, 2022
✔ NPI 1053887109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License A5632 (OR)
530 NW 27TH ST, Corvallis, OR 97330
Open in Google Maps ↗

Secondary Practice Location 1

Location 1608 Lancaster Dr SESalem, OR 97317-5643 · Phone (503) 877-1995 · Fax (888) 990-1352

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patty J Koker Lcsw 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 Reassignments

2

Medicare enrollment records show Patty Koker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Salem Rehabilitation, LLC
26 mi
Skilled Nursing Facility
3445 BOONE RD SE
Salem, OR 97317
  • Reassigned Medicare billing, Oregon enrollment
  • Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
  • 3,207 clinicians in this Medicare group
NPI 1215071998 (503) 576-3000
Jd Health And Wellness Center, Inc
28 mi
Naturopath
608 LANCASTER DR SE
Salem, OR 97317
  • Reassigned Medicare billing, Oregon enrollment
  • 8 clinicians in this Medicare group
NPI 1689918161 (503) 877-1995

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 20

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

STEPHANIE D GUERENA
Counselor (Addiction (Substance Use Disorder))
530 NW 27TH ST
CORVALLIS, OR 97330
Benton County (541) 766-6835
MICHAEL J MCCUSKER P. A.-C
Physician Assistant (Medical)
530 NW 27TH ST
CORVALLIS, OR 97330
Benton County (541) 766-6611
MICHAEL P HARRIS
Community Health Worker
530 NW 27TH ST
CORVALLIS, OR 97330
Benton County (541) 766-6835
KATIE ALBION
Community Health Worker
530 NW 27TH ST
CORVALLIS, OR 97330
Benton County (541) 766-6835
JOHN SANDERS
Registered Nurse (Psychiatric/Mental Health)
530 NW 27TH ST
CORVALLIS, OR 97330
Benton County (541) 766-6835
MRS. ALICIA JUNE NEUHAUS CPHT
Pharmacy Technician
530 NW 27TH ST
CORVALLIS, OR 97330
Benton County (541) 766-6835
SILVIA JOHNSON
Community Health Worker
530 NW 27TH ST
CORVALLIS, OR 97330
Benton County (541) 766-6835
KENT S HILL LCP, LMLP
Psychologist
530 NW 27TH ST
CORVALLIS, OR 97330
Benton County (541) 766-6835

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 Patty Koker's NPI number?

The NPI number for Patty Koker is 1053887109. It was assigned to this individual provider in the NPPES registry on October 16, 2018.

Where is Patty Koker located?

Patty Koker practices at 530 NW 27th St, Corvallis, OR 97330. The listed phone number is (541) 766-6835.

What is Patty Koker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Patty Koker enrolled in Medicare?

Yes. Patty Koker is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Patty Koker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patty Koker reassigns Medicare benefits to 2 organizations: South Salem Rehabilitation, LLC (Salem, OR) and Jd Health And Wellness Center, Inc (Salem, OR). Each 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 Patty Koker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patty Koker accept?

Health plans from Kaiser Permanente, Moda Health Plan, Inc. and Providence Health Plan list Patty Koker 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 Patty Koker was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.