DR. NATHANIEL WILLIAM GUMP PH.D.
NPI 1265714133
Psychologist - Counseling in Corvallis, OR

Active since September 15, 2011Opted out of Medicare · through Apr 2, 2028
408 SW MONROE AVE STE M236, CORVALLIS, OR 97333(541) 250-0143 Get Directions Write a Review

NPPES record last updated: October 23, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 23, 2019, Jul 13, 2019 (2 updates tracked since 2019).

About Dr. Nathaniel William Gump Ph.d. NPPES

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

DR. NATHANIEL WILLIAM GUMP PH.D. (NPI 1265714133) is an individual counseling provider in Corvallis, Oregon, licensed in Oregon (2967) and active in the NPI registry since September 2011. He has opted out of Medicare through April 2, 2028 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265714133
Entity TypeIndividualMale
Primary Taxonomy103TC1900X
Provider Legal NameDR. NATHANIEL WILLIAM GUMPCredential: PH.D.
Location Address408 SW MONROE AVE STE M236Corvallis, OR 97333-7210
Mailing Address408 Sw Monroe Ave Ste M236Corvallis, OR 97333-7210 · (541) 250-0143
Sole ProprietorYes
Enumeration DateSeptember 15, 2011
Last NPPES UpdateOctober 23, 20192 updates tracked since enumeration
NPI 1265714133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
Licenses Licensed in OR · 2967 Licensed in WI · 2738-57
Definition

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

408 SW MONROE AVE STE M236, Corvallis, OR 97333

Secondary Practice Locations 2

Location 1W6144 Aerotech DrAppleton, WI 54914-7503 · Phone (920) 733-2065
Location 2887 NW Grant AveCorvallis, OR 97330-4539 · Phone (541) 714-5620

Accepted 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

Dr. Nathaniel William Gump Ph.d. 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 April 2, 2024 through April 2, 2028.

Opt-Out Effective DateApril 2, 2024
Opt-Out In Effect ThroughApril 2, 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 Nathaniel Gump's NPI number?

The NPI number for Nathaniel Gump is 1265714133. It was assigned to this individual provider in the NPPES registry on September 15, 2011.

Where is Nathaniel Gump located?

Nathaniel Gump practices at 408 SW Monroe Ave Ste M236, Corvallis, OR 97333. The listed phone number is (541) 250-0143.

What is Nathaniel Gump's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Nathaniel Gump enrolled in Medicare?

No. Nathaniel Gump has opted out of Medicare through April 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Nathaniel Gump accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Nathaniel Gump 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 Nathaniel Gump was last updated on October 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.