ZACH EGGEMEYER
NPI 1063140507
Counselor - Mental Health in Portland, OR

Active since August 11, 2022PECOS Enrolled
1500 NE IRVING ST STE 210, PORTLAND, OR 97232(425) 477-4215 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 4, 2024, Aug 11, 2022 (2 updates tracked since 2022).

About Zach Eggemeyer NPPES

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

ZACH EGGEMEYER (NPI 1063140507) is an individual mental health provider in Portland, Oregon, licensed in Oregon (R8674) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063140507
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameZACH EGGEMEYER
Location Address1500 NE IRVING ST STE 210Portland, OR 97232-2243
Mailing Address1325 Ne 28th AvePortland, OR 97232-1714 · (503) 462-9595
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 11, 2022
Last NPPES UpdateNovember 4, 20242 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
✔ NPI 1063140507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · R8674
1500 NE IRVING ST STE 210, Portland, OR 97232

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zach Eggemeyer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870064553
PECOS Enrollment IDI20260603002367
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 Zach Eggemeyer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043
  • Reassigned Medicare billing, Oregon enrollment
  • 234 clinicians in this Medicare group

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.

Counselor (Mental Health)
1500 NE IRVING ST STE 210
PORTLAND, OR 97232
Social Worker (Clinical)
1500 NE IRVING ST STE 210
PORTLAND, OR 97232
Counselor (Mental Health)
1500 NE IRVING ST STE 210
PORTLAND, OR 97232
Counselor (Mental Health)
1500 NE IRVING ST STE 210
PORTLAND, OR 97232
Counselor (Mental Health)
1500 NE IRVING ST STE 210
PORTLAND, OR 97232
Counselor (Mental Health)
1500 NE IRVING ST STE 210
PORTLAND, OR 97232
Counselor (Mental Health)
1500 NE IRVING ST STE 210
PORTLAND, OR 97232
Nurse Practitioner (Psychiatric/Mental Health)
1500 NE IRVING ST STE 210
PORTLAND, OR 97232

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 Zach Eggemeyer's NPI number?

The NPI number for Zach Eggemeyer is 1063140507. It was assigned to this individual provider in the NPPES registry on August 11, 2022.

Where is Zach Eggemeyer located?

Zach Eggemeyer practices at 1500 NE Irving St Ste 210, Portland, OR 97232. The listed phone number is (425) 477-4215.

What is Zach Eggemeyer's specialty?

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

Is Zach Eggemeyer enrolled in Medicare?

Yes. Zach Eggemeyer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Zach Eggemeyer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zach Eggemeyer reassigns Medicare benefits to Mindful Therapy Group PC (Mountlake Terrace, WA). 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 Zach Eggemeyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zach Eggemeyer accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Zach Eggemeyer 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 Zach Eggemeyer was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.