JILL CORVELLI LPC, CADC, CGAC
NPI 1205258324
Counselor - Professional in Portland, OR

Q: What is Jill Corvelli's NPI number?

The NPI number for Jill Corvelli is 1205258324. It was assigned to this individual provider in the NPPES registry on January 8, 2014.

Q: What is Jill Corvelli's specialty?

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

Q: Is Jill Corvelli enrolled in Medicare?

No. Jill Corvelli has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jill Corvelli was last updated on April 3, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 08, 2014Opted out of Medicare · through Jan 1, 2027

14600 NW CORNELL RD, PORTLAND, OR 97229(503) 645-3581 Get Directions Write a Review

NPPES record last updated: April 3, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jill Corvelli Lpc, Cadc, Cgac NPPES

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

JILL CORVELLI LPC, CADC, CGAC (NPI 1205258324) is an individual professional provider in Portland, Oregon, licensed in Oregon (C4506) and active in the NPI registry since January 2014. She has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1205258324

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJILL CORVELLICredential: LPC, CADC, CGAC

Location Address14600 NW CORNELL RDPortland, OR 97229-5442

Mailing Address328 Kenwood RdLake Oswego, OR 97034-3832 · (503) 708-8082 · Fax (503) 893-3062

Phone(503) 645-3581

Sole ProprietorYes

Enumeration DateJanuary 8, 2014

Last NPPES UpdateApril 3, 2018

✔ NPI 1205258324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OR · C4506

14600 NW CORNELL RD, Portland, OR 97229

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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

Jill Corvelli Lpc, Cadc, Cgac 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, 2025 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2025

Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

WILLIAM JOHN MAYER QMHA

Social Worker