REBECCA ELLEN RYAN ROBERTS
NPI 1134891997
Counselor - Professional in Portland, OR

Q: What is Rebecca Ryan Roberts's NPI number?

The NPI number for Rebecca Ryan Roberts is 1134891997. It was assigned to this individual provider in the NPPES registry on September 30, 2021.

Q: What is Rebecca Ryan Roberts's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since September 30, 2021PECOS EnrolledAccepts Medicare Assignment

2901 E BURNSIDE ST, PORTLAND, OR 97214(503) 953-0310(541) 527-4347 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 6, 2024, Sep 30, 2021 (2 updates tracked since 2021).

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About Rebecca Ellen Ryan Roberts NPPES

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

REBECCA ELLEN RYAN ROBERTS (NPI 1134891997) is an individual professional provider in Portland, Oregon, licensed in Oregon (C8689) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1134891997

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameREBECCA ELLEN RYAN ROBERTS

Location Address2901 E BURNSIDE STPortland, OR 97214-1831

Mailing Address7515 Falcon Crest Dr # 200Redmond, OR 97756-5014 · (503) 953-0310 · Fax (541) 527-4347

Phone(503) 953-0310

Fax(541) 527-4347

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 30, 2021

Last NPPES UpdateFebruary 23, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2026

✔ NPI 1134891997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OR · C8689

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License C8689 (OR)

2901 E BURNSIDE ST, Portland, OR 97214

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Secondary Practice Location 1

Location 18427 SE 72nd AvePortland, OR 97206-8753 · Phone (510) 457-5933

Accepted Insurance

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

Rebecca Ellen Ryan Roberts 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 ID9638610694

PECOS Enrollment IDI20240918002866

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.

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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.

MS. AUTUMN BROWN CADC I

Counselor (Addiction (Substance Use Disorder))