MRS. MARY M ELSETHAGEN LPC
NPI 1336154012
Counselor - Professional in Boardman, OR
About Mrs. Mary M Elsethagen Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MARY M ELSETHAGEN LPC (NPI 1336154012) is an individual professional provider in Boardman, Oregon and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Mary M Elsethagen Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Elsethagen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Heppner, OR 97836
- Reassigned Medicare billing, Oregon enrollment
- 49 clinicians in this Medicare group
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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mary Elsethagen's NPI number?
The NPI number for Mary Elsethagen is 1336154012. It was assigned to this individual provider in the NPPES registry on July 30, 2006.
Where is Mary Elsethagen located?
Mary Elsethagen practices at 101 NW Boardman Ave., Boardman, OR 97818. The listed phone number is (541) 481-2911.
What is Mary Elsethagen's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Mary Elsethagen enrolled in Medicare?
Yes. Mary Elsethagen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary Elsethagen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Elsethagen reassigns Medicare benefits to Community Counseling Solutions (Heppner, 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 Mary Elsethagen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Elsethagen accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Mary Elsethagen 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 Mary Elsethagen was last updated on November 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Mrs. Mary M Elsethagen, LPC · NPI 1336154012
Professional provider in Boardman, Oregon. Individual provider, active in the CMS NPPES registry since July 30, 2006.
## Identity
- **NPI:** 1336154012 (Entity type: Individual)
- **Enumerated:** July 30, 2006
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Sole proprietor:** No
## Practice location
- **Address:** 101 NW BOARDMAN AVE., Boardman, OR 97818
- **Phone:** (541) 481-2911
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Community Counseling Solutions (NPI 1578501771, Heppner, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** November 4, 2009
- **Other identifiers:** Other C1782 (OR)
---
Source: [NPI Profile](https://npiprofile.com/npi/1336154012) · Data from the CMS NPPES public registry.