TINA GILBERTSON L.P.C.
NPI 1215215892
Counselor - Mental Health in Portland, OR

Active since July 29, 2011Opted out of Medicare · through Feb 6, 2027
1235 SE DIVISION ST, SUITE 207, PORTLAND, OR 97202(503) 544-6179 Get Directions Write a Review

NPPES record last updated: July 29, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tina Gilbertson L.p.c. NPPES

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

TINA GILBERTSON L.P.C. (NPI 1215215892) is an individual mental health provider in Portland, Oregon, licensed in Oregon (C2577) and active in the NPI registry since July 2011. She has opted out of Medicare through February 6, 2027.

NPPES Registry Identity

NPI1215215892
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTINA GILBERTSONCredential: L.P.C.
Location Address1235 SE DIVISION ST, SUITE 207Portland, OR 97202-1099
Mailing Address1235 Se Division St, Suite 207Portland, OR 97202-1099 · (503) 544-6179
Sole ProprietorYes
Enumeration DateJuly 29, 2011
NPI 1215215892 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 · C2577
1235 SE DIVISION ST, Portland, OR 97202

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Tina Gilbertson L.p.c. 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 6, 2025 through February 6, 2027.

Opt-Out Effective DateFebruary 6, 2025
Opt-Out In Effect ThroughFebruary 6, 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.

Massage Therapist
1235 SE DIVISION ST, SUITE 203B
PORTLAND, OR 97202
Acupuncturist
1235 SE DIVISION ST, STE 106A
PORTLAND, OR 97202
Clinic/Center (Multi-Specialty)
1235 SE DIVISION ST, SUITE 206
PORTLAND, OR 97202
Family Medicine
1235 SE DIVISION ST, STE 115
PORTLAND, OR 97202
Counselor (Mental Health)
1235 SE DIVISION ST
PORTLAND, OR 97202
Counselor (Mental Health)
1235 SE DIVISION ST, SUITE 104
PORTLAND, OR 97202
Counselor (Mental Health)
1235 SE DIVISION ST
PORTLAND, OR 97202
Contractor
1235 SE DIVISION ST, SUITE 302
PORTLAND, OR 97202

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 Tina Gilbertson's NPI number?

The NPI number for Tina Gilbertson is 1215215892. It was assigned to this individual provider in the NPPES registry on July 29, 2011.

Where is Tina Gilbertson located?

Tina Gilbertson practices at 1235 SE Division St Suite 207, Portland, OR 97202. The listed phone number is (503) 544-6179.

What is Tina Gilbertson's specialty?

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

Is Tina Gilbertson enrolled in Medicare?

No. Tina Gilbertson has opted out of Medicare through February 6, 2027. 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 Tina Gilbertson was last updated on July 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.