CHRISTA LYNN CUMMINS MA
NPI 1104586346
Counselor - Professional in Portland, OR
About Christa Lynn Cummins Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHRISTA LYNN CUMMINS MA (NPI 1104586346) is an individual professional provider in Portland, Oregon, licensed in Oregon (R5295) and active in the NPI registry since December 2021. She has opted out of Medicare through January 3, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Christa Lynn Cummins Ma has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 3, 2024 through January 3, 2028.
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 Christa Cummins's NPI number?
The NPI number for Christa Cummins is 1104586346. It was assigned to this individual provider in the NPPES registry on December 29, 2021.
Where is Christa Cummins located?
Christa Cummins practices at 5846 NE 28th Ave, Portland, OR 97211. The listed phone number is (971) 563-5739.
What is Christa Cummins's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Christa Cummins enrolled in Medicare?
No. Christa Cummins has opted out of Medicare through January 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Christa Cummins was last updated on December 29, 2021. 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.
# Christa Lynn Cummins, MA · NPI 1104586346
Professional provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since December 29, 2021.
## Identity
- **NPI:** 1104586346 (Entity type: Individual)
- **Enumerated:** December 29, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** R5295 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5846 NE 28TH AVE, Portland, OR 97211-6169
- **Phone:** (971) 563-5739
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 3, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** December 29, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1104586346) · Data from the CMS NPPES public registry.