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LORI MICHELLE SEVERSON LPC
NPI 1326654021
Counselor - Professional in Beaverton, OR

Active since September 17, 2020Opted out of Medicare · through Jan 1, 2028
12250 SW 2ND ST STE B-103, BEAVERTON, OR 97005(503) 709-0897 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lori Michelle Severson Lpc NPPES

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

LORI MICHELLE SEVERSON LPC (NPI 1326654021) is an individual professional provider in Beaverton, Oregon, licensed in Oregon (C5285) and active in the NPI registry since September 2020. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1326654021
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLORI MICHELLE SEVERSONCredential: LPC
Location Address12250 SW 2ND ST STE B-103Beaverton, OR 97005-2828
Mailing Address12250 Sw 2nd St Ste B-103Beaverton, OR 97005-2828 · (503) 709-0897
Phone(503) 709-0897
Sole ProprietorYes
Enumeration DateSeptember 17, 2020
NPPES CertifiedSeptember 17, 2020
✔ NPI 1326654021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C5285
12250 SW 2ND ST STE B-103, Beaverton, OR 97005
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Lori Michelle Severson Lpc 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Lori Severson's NPI number?

The NPI number for Lori Severson is 1326654021. It was assigned to this individual provider in the NPPES registry on September 17, 2020.

Where is Lori Severson located?

Lori Severson practices at 12250 SW 2nd St Ste B-103, Beaverton, OR 97005. The listed phone number is (503) 709-0897.

What is Lori Severson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Lori Severson enrolled in Medicare?

No. Lori Severson has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lori Severson was last updated on September 17, 2020. 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.