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OTONIEL CALDERON
NPI 1255794848
Counselor - Professional in Redmond, OR

Active since March 31, 2016PECOS Enrolled
7515 FALCON CREST DR # 200, REDMOND, OR 97756(904) 541-5216 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 5, 2025, Sep 8, 2025, Mar 31, 2016 (3 updates tracked since 2016).

About Otoniel Calderon NPPES

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

OTONIEL CALDERON (NPI 1255794848) is an individual professional provider in Redmond, Oregon, licensed in Oregon (C10144) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Aloha, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1255794848
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameOTONIEL CALDERON
Location Address7515 FALCON CREST DR # 200Redmond, OR 97756-5014
Mailing Address7515 Falcon Crest Dr # 200Redmond, OR 97756-5014 · (541) 904-5216 · Fax (541) 527-4347
Phone(904) 541-5216
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 31, 2016
Last NPPES UpdateNovember 5, 20253 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
✔ NPI 1255794848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C10144
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
7515 FALCON CREST DR # 200, Redmond, OR 97756
Open in Google Maps ↗

Secondary Practice Location 1

Location 14585 SW 185th AveAloha, OR 97078-1557 · Phone (503) 591-9280 · Fax (503) 848-2072

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Otoniel Calderon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446754428
PECOS Enrollment IDI20250922002613
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 Otoniel Calderon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brightways Counseling Group LLC
Same address
Group Psychotherapy
7515 FALCON CREST DR # 200
Redmond, OR 97756
  • Reassigned Medicare billing, Oregon enrollment
  • 86 clinicians in this Medicare group
NPI 1689191165 (541) 904-5216

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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTNEY GILLYARD PMHNP-BC, FNP-C
Nurse Practitioner (Psychiatric/Mental Health)
7515 FALCON CREST DR # 200
REDMOND, OR 97756
Deschutes County (541) 904-5216
MS. TRACY HELENE KLEIN LCSW
Social Worker (Clinical)
7515 FALCON CREST DR # 200
REDMOND, OR 97756
Deschutes County (541) 904-5216
COCO MCGRAW SMITH PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
7515 FALCON CREST DR # 200
REDMOND, OR 97756
Deschutes County (541) 904-5216
KAILA STARMER LPC
Counselor (Professional)
7515 FALCON CREST DR # 200
REDMOND, OR 97756
Deschutes County (541) 904-5216
CHRISTINA LIU LCSW
Social Worker (Clinical)
7515 FALCON CREST DR # 200
REDMOND, OR 97756
Deschutes County (541) 904-5216
KATHRYN LYNNE DURANT LPC
Counselor (Professional)
7515 FALCON CREST DR # 200
REDMOND, OR 97756
Deschutes County (541) 904-5216
MEGAN HALL LPC
Counselor (Professional)
7515 FALCON CREST DR # 200
REDMOND, OR 97756
Deschutes County (541) 904-5216
MARA OWENS
Counselor (Professional)
7515 FALCON CREST DR # 200
REDMOND, OR 97756
Deschutes County (541) 904-5216

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 Otoniel Calderon's NPI number?

The NPI number for Otoniel Calderon is 1255794848. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Where is Otoniel Calderon located?

Otoniel Calderon practices at 7515 Falcon Crest Dr # 200, Redmond, OR 97756. The listed phone number is (904) 541-5216.

What is Otoniel Calderon's specialty?

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

Is Otoniel Calderon enrolled in Medicare?

Yes. Otoniel Calderon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Otoniel Calderon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Otoniel Calderon reassigns Medicare benefits to Brightways Counseling Group LLC (Redmond, OR). 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 Otoniel Calderon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Otoniel Calderon accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Otoniel Calderon 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 Otoniel Calderon was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.