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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: August 02, 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
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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, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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
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
GENE R CONLEY JR. MD
Internal Medicine
14406 NE 20TH AVE
VANCOUVER, WA 98686
Clark County (800) 813-2000

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.

What insurance does Kristin Tebow accept?

Health plans from BridgeSpan Health Company 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 7 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.