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ELAINE KORNGOLD
NPI 1174026835
Counselor - Mental Health in Portland, OR

Active since March 08, 2018Opted out of Medicare · through Jan 1, 2028
8885 SW CANYON RD, PORTLAND, OR 97225(503) 770-0810 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 6, 2020, Mar 8, 2018 (2 updates tracked since 2018).

About Elaine Korngold NPPES

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

ELAINE KORNGOLD (NPI 1174026835) is an individual mental health provider in Portland, Oregon and active in the NPI registry since March 2018. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1174026835
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELAINE KORNGOLD
Location Address8885 SW CANYON RDPortland, OR 97225-3431
Mailing Address8885 Sw Canyon Rd Ste 108Portland, OR 97225-3431 · (503) 770-0810
Phone(503) 770-0810
Sole ProprietorYes
Enumeration DateMarch 8, 2018
Last NPPES UpdateAugust 6, 20202 updates tracked since enumeration
NPPES CertifiedAugust 6, 2020
✔ NPI 1174026835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
8885 SW CANYON RD, Portland, OR 97225
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Elaine Korngold 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 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

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

CHERYL JANE WINEGAR LMT
Massage Therapist
8885 SW CANYON RD, STE 107
PORTLAND, OR 97225
Washington County (971) 344-1979
ONEDONNA INTHAVONG LMT
Massage Therapist
8885 SW CANYON RD, SUITE129
PORTLAND, OR 97225
Washington County (503) 260-7574
PERFORMANCE SOLUTIONS UNLIMITED, LLC
Social Worker (Clinical)
8885 SW CANYON RD, SUITE 210
PORTLAND, OR 97225
Washington County (317) 418-9149

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 Elaine Korngold's NPI number?

The NPI number for Elaine Korngold is 1174026835. It was assigned to this individual provider in the NPPES registry on March 8, 2018.

Where is Elaine Korngold located?

Elaine Korngold practices at 8885 SW Canyon Rd, Portland, OR 97225. The listed phone number is (503) 770-0810.

What is Elaine Korngold's specialty?

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

Is Elaine Korngold enrolled in Medicare?

No. Elaine Korngold has opted out of Medicare through January 1, 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 Elaine Korngold was last updated on August 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.