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EVAN MICHAEL LAFOUNTAIN
NPI 1285204511
Counselor - Mental Health in Salem, OR

Active since June 29, 2021PECOS Enrolled
805 LIBERTY ST NE STE 2, SALEM, OR 97301(219) 669-8267 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Evan Michael Lafountain NPPES

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

EVAN MICHAEL LAFOUNTAIN (NPI 1285204511) is an individual mental health provider in Salem, Oregon and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285204511
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameEVAN MICHAEL LAFOUNTAIN
Location Address805 LIBERTY ST NE STE 2Salem, OR 97301-2463
Mailing Address2822 Walnut CtHubbard, OR 97032-9692 · (219) 669-8267
Phone(219) 669-8267
Sole ProprietorYes
Enumeration DateJune 29, 2021
NPPES CertifiedJune 8, 2021
✔ NPI 1285204511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
805 LIBERTY ST NE STE 2, Salem, OR 97301
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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., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evan Michael Lafountain is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Evan Lafountain reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Evergreen Counseling And Consultation
28 mi
Mental Health (Including Community Mental Health Center)
8855 SW HOLLY LN STE 111
Wilsonville, OR 97070
  • Reassigned Medicare billing, Oregon enrollment
NPI 1295629806 (503) 902-8431

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.

REBEKAH ELIZABETH STOLTZFUS
Counselor (Mental Health)
805 LIBERTY ST NE STE 2
SALEM, OR 97301
Marion County (503) 589-3112
PATRICK SANCHEZ
Counselor (Mental Health)
805 LIBERTY ST NE STE 2
SALEM, OR 97301
Marion County (503) 589-3112
ZOE BAKER
Counselor (Mental Health)
805 LIBERTY ST NE STE 2
SALEM, OR 97301
Marion County (503) 589-3112
DANIEL MORROW
Counselor (Professional)
805 LIBERTY ST NE STE 2
SALEM, OR 97301
Marion County (503) 589-3112
PATRICIA H QUAYE
Counselor (Mental Health)
805 LIBERTY ST NE STE 2
SALEM, OR 97301
Marion County (503) 589-3112
CHAD GILBERT
Counselor (Mental Health)
805 LIBERTY ST NE STE 2
SALEM, OR 97301
Marion County (503) 589-3112
CASEY VOGES
Counselor (Mental Health)
805 LIBERTY ST NE STE 2
SALEM, OR 97301
Marion County (503) 589-3112
SIRI CARLSON
Counselor (Mental Health)
805 LIBERTY ST NE STE 2
SALEM, OR 97301
Marion County (503) 949-3551

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 Evan Lafountain's NPI number?

The NPI number for Evan Lafountain is 1285204511. It was assigned to this individual provider in the NPPES registry on June 29, 2021.

Where is Evan Lafountain located?

Evan Lafountain practices at 805 Liberty St NE Ste 2, Salem, OR 97301. The listed phone number is (219) 669-8267.

What is Evan Lafountain's specialty?

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

Is Evan Lafountain enrolled in Medicare?

Yes. Evan Lafountain is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Evan Lafountain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Lafountain reassigns Medicare benefits to Evergreen Counseling And Consultation (Wilsonville, 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 Evan Lafountain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evan Lafountain accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Evan Lafountain 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 Evan Lafountain was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.