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IVAN GUTIERREZ
NPI 1265822167
Counselor - Mental Health in Salem, OR

Active since January 29, 2015PECOS EnrolledAccepts Medicare Assignment
1245 EDGEWATER ST NW, SALEM, OR 97304(503) 588-5816(503) 588-5803 Get Directions Write a Review

NPPES record last updated: January 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ivan Gutierrez NPPES

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

IVAN GUTIERREZ (NPI 1265822167) is an individual mental health provider in Salem, Oregon and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1265822167
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameIVAN GUTIERREZ
Location Address1245 EDGEWATER ST NWSalem, OR 97304-4049
Mailing Address1245 Edgewater St NwSalem, OR 97304-4049 · (503) 588-5816 · Fax (503) 588-5803
Phone(503) 588-5816
Fax(503) 588-5803
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 29, 2015
✔ NPI 1265822167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1245 EDGEWATER ST NW, Salem, OR 97304
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ivan Gutierrez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739414012
PECOS Enrollment IDI20190709001369
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.

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.

MR. KEVIN BROTTON
Case Manager/Care Coordinator
1245 EDGEWATER ST NW
SALEM, OR 97304
Polk County (503) 588-5816
VICKI BERN I
Counselor (Mental Health)
1245 EDGEWATER ST NW
SALEM, OR 97304
Polk County (503) 588-5816
MRS. ERIN MELISSA COX
Counselor
1245 EDGEWATER ST NW
SALEM, OR 97304
Polk County (503) 588-5854
ALMA LYNN MCDOWELL
Counselor (Professional)
1245 EDGEWATER ST NW
SALEM, OR 97304
Polk County (503) 588-5816
MS. ADRIENNE J MAYNARD DNP, PMHNP BC
Nurse Practitioner (Psychiatric/Mental Health)
1245 EDGEWATER ST NW
SALEM, OR 97304
Polk County (503) 588-5816
RACHEL SCHOOLER BA
Case Manager/Care Coordinator
1245 EDGEWATER ST NW
SALEM, OR 97304
Polk County (503) 588-5816
GERARDO JIMENEZ
Counselor (Mental Health)
1245 EDGEWATER ST NW
SALEM, OR 97304
Polk County (503) 588-5816
MRS. BETH ANN CONN LCSW
Social Worker (Clinical)
1245 EDGEWATER ST NW
SALEM, OR 97304
Polk County (503) 588-5816

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 Ivan Gutierrez's NPI number?

The NPI number for Ivan Gutierrez is 1265822167. It was assigned to this individual provider in the NPPES registry on January 29, 2015.

Where is Ivan Gutierrez located?

Ivan Gutierrez practices at 1245 Edgewater St NW, Salem, OR 97304. The listed phone number is (503) 588-5816.

What is Ivan Gutierrez's specialty?

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

Is Ivan Gutierrez enrolled in Medicare?

Yes. Ivan Gutierrez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ivan Gutierrez accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Ivan Gutierrez 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 Ivan Gutierrez was last updated on January 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.