CHRISTOPHER MARQUARDT NCC
NPI 1174976393
Counselor - Mental Health in Portland, OR

Active since July 22, 2016Opted out of Medicare · through Jun 26, 2028
2304 E BURNSIDE ST STE 3, PORTLAND, OR 97214(971) 270-0792 Get Directions Write a Review

NPPES record last updated: July 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Christopher Marquardt Ncc NPPES

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

CHRISTOPHER MARQUARDT NCC (NPI 1174976393) is an individual mental health provider in Portland, Oregon, licensed in Oregon (R3962) and active in the NPI registry since July 2016. He has opted out of Medicare through June 26, 2028.

NPPES Registry Identity

NPI1174976393
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCHRISTOPHER MARQUARDTCredential: NCC
Location Address2304 E BURNSIDE ST STE 3Portland, OR 97214-1677
Mailing Address2304 E Burnside St Ste 3Portland, OR 97214-1677 · (971) 270-0792
Sole ProprietorYes
Enumeration DateJuly 22, 2016
NPI 1174976393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OR · R3962
2304 E BURNSIDE ST STE 3, Portland, OR 97214

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Christopher Marquardt Ncc 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 June 26, 2024 through June 26, 2028.

Opt-Out Effective DateJune 26, 2024
Opt-Out In Effect ThroughJune 26, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Christopher Marquardt's NPI number?

The NPI number for Christopher Marquardt is 1174976393. It was assigned to this individual provider in the NPPES registry on July 22, 2016.

Where is Christopher Marquardt located?

Christopher Marquardt practices at 2304 E Burnside St Ste 3, Portland, OR 97214. The listed phone number is (971) 270-0792.

What is Christopher Marquardt's specialty?

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

Is Christopher Marquardt enrolled in Medicare?

No. Christopher Marquardt has opted out of Medicare through June 26, 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 Christopher Marquardt was last updated on July 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.