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TIMOTHY GAZDZIAK LPC
NPI 1083814677
Counselor - Mental Health in Gresham, OR

Active since July 20, 2007PECOS EnrolledAccepts Medicare Assignment
1700 NW CIVIC DR, SUITE 310, GRESHAM, OR 97030(503) 666-8832(503) 669-8641 Get Directions Write a Review

NPPES record last updated: March 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Gazdziak Lpc NPPES

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

TIMOTHY GAZDZIAK LPC (NPI 1083814677) is an individual mental health provider in Gresham, Oregon, licensed in Oregon (C2938) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1083814677
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTIMOTHY GAZDZIAKCredential: LPC
Location Address1700 NW CIVIC DR, SUITE 310Gresham, OR 97030-3770
Mailing Address1700 Nw Civic Dr, Suite 310Gresham, OR 97030-3770 · (503) 666-8832 · Fax (503) 669-8641
Phone(503) 666-8832
Fax(503) 669-8641
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 20, 2007
Last NPPES UpdateMarch 15, 2013
✔ NPI 1083814677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · C2938
Also ListedCounselorTaxonomy 101Y00000X · License C2938 (OR)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License C2938 (OR)
1700 NW CIVIC DR, Gresham, OR 97030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Timothy Gazdziak Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274001243
PECOS Enrollment IDI20260511001452
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.

Other Providers at the Same Location NPPES 12

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

SONNY SNYDER QMHP-R
Counselor (Professional)
1700 NW CIVIC DR
GRESHAM, OR 97030
Multnomah County (503) 666-8832
CLARK PAUL RECTOR PSY.D.
Psychologist
1700 NW CIVIC DR
GRESHAM, OR 97030
Multnomah County (503) 666-8832
VALERIE ANN REYNOLDS M.A.
Counselor (Professional)
1700 NW CIVIC DR, SUITE 310
GRESHAM, OR 97030
Multnomah County (503) 666-8832
MS. KATHLEEN SUZANNE LEAVITT M.ED.
Marriage & Family Therapist
1700 NW CIVIC DR, SUITE 310
GRESHAM, OR 97030
Multnomah County (503) 666-8832
MRS. SARAH DANGARAN
Behavior Analyst
1700 NW CIVIC DR, 310
GRESHAM, OR 97030
Multnomah County (503) 666-8832
MRS. PATRICIA BOOTZIN LPC
Counselor (Mental Health)
1700 NW CIVIC DR, SUTIE 310
GRESHAM, OR 97030
Multnomah County (503) 666-8832
NICKLAUS CLARK LPC, LMHC
Counselor (Professional)
1700 NW CIVIC DR, SUITE 310
GRESHAM, OR 97030
Multnomah County (503) 233-5405
KRISTEN PETERCA MA, LPC, NCC
Counselor (Mental Health)
1700 NW CIVIC DR, SUITE 310
GRESHAM, OR 97030
Multnomah County (503) 666-8332

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 Gazdziak's NPI number?

The NPI number for Timothy Gazdziak is 1083814677. It was assigned to this individual provider in the NPPES registry on July 20, 2007.

Where is Timothy Gazdziak located?

Timothy Gazdziak practices at 1700 NW Civic Dr Suite 310, Gresham, OR 97030. The listed phone number is (503) 666-8832.

What is Timothy Gazdziak's specialty?

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

Is Timothy Gazdziak enrolled in Medicare?

Yes. Timothy Gazdziak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Timothy Gazdziak accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Timothy Gazdziak 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 Gazdziak was last updated on March 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.