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KRISTIN L TEBOW M.S.
NPI 1275806887
Counselor - Mental Health in Vancouver, WA

Active since February 13, 2012PECOS Enrolled
14406 NE 20TH AVE, VANCOUVER, WA 98686(800) 813-2000 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 9, 2025, Nov 22, 2021 (2 updates tracked since 2021).

About Kristin L Tebow M.s. NPPES

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

KRISTIN L TEBOW M.S. (NPI 1275806887) is an individual mental health provider in Vancouver, Washington, licensed in Washington (LH60742268) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1275806887
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKRISTIN L TEBOWCredential: M.S.
Location Address14406 NE 20TH AVEVancouver, WA 98686-1448
Mailing Address500 Ne Multnomah St Ste 100Portland, OR 97232-2031 · (800) 813-2000 · Fax (855) 524-5255
Phone(800) 813-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 13, 2012
Last NPPES UpdateDecember 9, 20252 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1275806887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in WA · LH60742268✔ Licensed in OR · C3524
14406 NE 20TH AVE, Vancouver, WA 98686
Open in Google Maps ↗

Secondary Practice Location 1

Location 12303 NE 12th Ave Apt 3Portland, OR 97212-4138 · Phone (503) 850-8463

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, 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)

Kristin L Tebow M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204321839
PECOS Enrollment IDI20251223003272
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 Kristin Tebow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Manor Care Of Salmon Creek Wa, Association
0.7 mi
Skilled Nursing Facility
2811 NE 139TH ST
Vancouver, WA 98686
  • Reassigned Medicare billing, Washington and Oregon enrollments
  • Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
  • Also billed through NPI 1093043424 (Oregon)
  • 2,534 clinicians in this Medicare group
NPI 1609171081 (360) 574-5247

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.

CRAIG STEPHEN HERSH M.D.
Dermatology
14406 NE 20TH AVE
VANCOUVER, WA 98686
Clark County (360) 418-6001
DR. SUSAN MARIE KARAGIANES DMD
Dentist (General Practice)
14406 NE 20TH AVE
VANCOUVER, WA 98686
Clark County (360) 571-3138
MISO BAK NP
Nurse Practitioner (Adult Health)
14406 NE 20TH AVE
VANCOUVER, WA 98686
Clark County (360) 487-1000
DR. MARIANNE DALY DMD
Dentist (General Practice)
14406 NE 20TH AVE
VANCOUVER, WA 98686
Clark County (360) 571-3138
DR. CAROL CHIU MD
Obstetrics & Gynecology
14406 NE 20TH AVE
VANCOUVER, WA 98686
Clark County (800) 813-2000
MS. DONNA CAROLE WILSON RDH
Dental Hygienist
14406 NE 20TH AVE
VANCOUVER, WA 98686
Clark County (360) 571-3139
SHAANTI FOERSTER ABBRUZZESE CNM
Advanced Practice Midwife
14406 NE 20TH AVE
VANCOUVER, WA 98686
Clark County (800) 813-2000
DR. ADAM F BRAGANZA MD
Ophthalmology
14406 NE 20TH AVE
VANCOUVER, WA 98686
Clark County (360) 418-6001

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 Kristin Tebow's NPI number?

The NPI number for Kristin Tebow is 1275806887. It was assigned to this individual provider in the NPPES registry on February 13, 2012.

Where is Kristin Tebow located?

Kristin Tebow practices at 14406 NE 20th Ave, Vancouver, WA 98686. The listed phone number is (800) 813-2000.

What is Kristin Tebow's specialty?

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

Is Kristin Tebow enrolled in Medicare?

Yes. Kristin Tebow is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kristin Tebow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Tebow reassigns Medicare benefits to Manor Care Of Salmon Creek Wa, Association (Vancouver, WA). 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 Kristin Tebow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristin Tebow accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Kristin Tebow 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 Kristin Tebow was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.