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ANGELA DEE GUNN LCSW CST
NPI 1194092007
Marriage & Family Therapist in Portland, OR

Active since November 20, 2011PECOS Enrolled
5510 N COMMERCIAL AVE, PORTLAND, OR 97217(414) 550-0257 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Angela Dee Gunn Lcsw Cst NPPES

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

ANGELA DEE GUNN LCSW CST (NPI 1194092007) is an individual marriage & family therapist in Portland, Oregon, licensed in Oregon (L6394) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1194092007
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameANGELA DEE GUNNCredential: LCSW CST
Location Address5510 N COMMERCIAL AVEPortland, OR 97217-2340
Mailing Address5510 N Commercial AvePortland, OR 97217-2340 · (414) 550-0257
Phone(414) 550-0257
Sole ProprietorNo
Enumeration DateNovember 20, 2011
Last NPPES UpdateApril 21, 2020
NPPES CertifiedApril 21, 2020
✔ NPI 1194092007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in OR · L6394
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License A3133 (OR)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 128563-121 (WI)
5510 N COMMERCIAL AVE, Portland, OR 97217
Open in Google Maps ↗

Secondary Practice Location 1

Location 11823 NE 8th Ave.Portland, OR 97212 · Phone (503) 460-2796

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Dee Gunn Lcsw Cst is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Angela Gunn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
569 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

SANGSUREE WELLNESS
Counselor (Professional)
5510 N COMMERCIAL AVE
PORTLAND, OR 97217
Multnomah County (503) 332-7003
JOURNEYHEALTH ACUPUNCTURE
Acupuncturist
5510 N COMMERCIAL AVE
PORTLAND, OR 97217
Multnomah County (971) 227-1534
JANICE GRAY
Acupuncturist
5510 N COMMERCIAL AVE
PORTLAND, OR 97217
Multnomah County (971) 227-1534

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 Angela Gunn's NPI number?

The NPI number for Angela Gunn is 1194092007. It was assigned to this individual provider in the NPPES registry on November 20, 2011.

Where is Angela Gunn located?

Angela Gunn practices at 5510 N Commercial Ave, Portland, OR 97217. The listed phone number is (414) 550-0257.

What is Angela Gunn's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Angela Gunn enrolled in Medicare?

Yes. Angela Gunn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angela Gunn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Gunn reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angela Gunn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Angela Gunn was last updated on April 21, 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.