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RENEE BOLES
NPI 1205246691
Counselor - Mental Health in Tigard, OR

Active since May 06, 2014Opted out of Medicare · through Feb 9, 2028
14755 SW CABERNET CT, TIGARD, OR 97224(971) 217-8164(833) 672-3307 Get Directions Write a Review

NPPES record last updated: May 14, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Renee Boles NPPES

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

RENEE BOLES (NPI 1205246691) is an individual mental health provider in Tigard, Oregon and active in the NPI registry since May 2014. She has opted out of Medicare through February 9, 2028 and maintains a secondary practice location in Tigard.

NPPES Registry Identity

NPI1205246691
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameRENEE BOLES
Location Address14755 SW CABERNET CTTigard, OR 97224-1539
Mailing Address14755 Sw Cabernet CtTigard, OR 97224-1539 · (971) 217-8164 · Fax (833) 672-3307
Phone(971) 217-8164
Fax(833) 672-3307
Sole ProprietorYes
Enumeration DateMay 6, 2014
Last NPPES UpdateMay 14, 2022
NPPES CertifiedMay 14, 2022
✔ NPI 1205246691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
14755 SW CABERNET CT, Tigard, OR 97224
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Secondary Practice Location 1

Location 17175 SW Beveland Rd, Suite 105Tigard, OR 97223-8665 · Phone (971) 217-8164 · Fax (866) 802-8062

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Renee Boles 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 February 9, 2024 through February 9, 2028.

Opt-Out Effective DateFebruary 9, 2024
Opt-Out In Effect ThroughFebruary 9, 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 Renee Boles's NPI number?

The NPI number for Renee Boles is 1205246691. It was assigned to this individual provider in the NPPES registry on May 6, 2014.

Where is Renee Boles located?

Renee Boles practices at 14755 SW Cabernet Ct, Tigard, OR 97224. The listed phone number is (971) 217-8164.

What is Renee Boles's specialty?

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

Is Renee Boles enrolled in Medicare?

No. Renee Boles has opted out of Medicare through February 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Renee Boles accept?

Health plans from Providence Health Plan list Renee Boles as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Renee Boles was last updated on May 14, 2022. 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.