A. NICOLE LA VERNE LPC, MAC, CADC III,
NPI 1083699979
Counselor - Professional in Lake Oswego, OR
About A. Nicole La Verne Lpc, Mac, Cadc Iii, NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
A. NICOLE LA VERNE LPC, MAC, CADC III, (NPI 1083699979) is an individual professional provider in Lake Oswego, Oregon, licensed in Oregon (C1853) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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)
A. Nicole La Verne Lpc, Mac, Cadc Iii, is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show A. La Verne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lake Oswego, OR 97035
- Reassigned Medicare billing, Oregon enrollment
- 18 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAKE OSWEGO, OR 97035
LAKE OSWEGO, OR 97035
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 A. La Verne's NPI number?
The NPI number for A. La Verne is 1083699979. It was assigned to this individual provider in the NPPES registry on December 13, 2005. The provider is also known as A. Nicole Spivey.
Where is A. La Verne located?
A. La Verne practices at 5285 Meadows Rd Ste 170, Lake Oswego, OR 97035. The listed phone number is (503) 726-5216.
What is A. La Verne's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is A. La Verne enrolled in Medicare?
Yes. A. La Verne is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for A. La Verne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), A. La Verne reassigns Medicare benefits to Sapphire Blue Behavioral Health Solutions (Lake Oswego, 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 A. La Verne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does A. La Verne accept?
Health plans from Moda Health Plan, Inc. list A. La Verne 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 A. La Verne was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# A. Nicole La Verne, LPC, MAC, CADC III, · NPI 1083699979
Professional provider in Lake Oswego, Oregon. Individual provider, active in the CMS NPPES registry since December 13, 2005.
## Identity
- **NPI:** 1083699979 (Entity type: Individual)
- **Enumerated:** December 13, 2005
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** C1853 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5285 MEADOWS RD STE 170, Lake Oswego, OR 97035-3478
- **Phone:** (503) 726-5216
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sapphire Blue Behavioral Health Solutions (NPI 1558839068, Lake Oswego, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1083699979) · Data from the CMS NPPES public registry.