1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Counselor
  6. NPI Profile

MR. GERALD ERIC DECKELBAUM LCSW
NPI 1336235126
Counselor - Mental Health in Portland, OR

Active since October 05, 2006Opted out of Medicare · through Oct 1, 2026
1020 SW TAYLOR ST, #445, PORTLAND, OR 97205(503) 224-0033 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Gerald Eric Deckelbaum Lcsw NPPES

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

MR. GERALD ERIC DECKELBAUM LCSW (NPI 1336235126) is an individual mental health provider in Portland, Oregon, licensed in Oregon (2999) and active in the NPI registry since October 2006. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1336235126
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. GERALD ERIC DECKELBAUMCredential: LCSW
Location Address1020 SW TAYLOR ST, #445Portland, OR 97205-2543
Mailing Address1137 Se 52nd AvePortland, OR 97215-2632 · (503) 232-3761
Phone(503) 224-0033
Sole ProprietorYes
Enumeration DateOctober 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1336235126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · 2999
1020 SW TAYLOR ST, Portland, OR 97205
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Gerald Eric Deckelbaum Lcsw 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 October 1, 2014 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2014
Opt-Out In Effect ThroughOctober 1, 2026Opt-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.

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.

DANIELLE ELLEN LIEB-FOLEY MA, MFT, ATR
Marriage & Family Therapist
1020 SW TAYLOR ST, SUITE 345
PORTLAND, OR 97205
Multnomah County (503) 704-6101
MYERS-RICHARDS, INC
Counselor (Mental Health)
1020 SW TAYLOR ST, #370
PORTLAND, OR 97205
Multnomah County (503) 222-2420
KATE MCNULTY LCSW
Social Worker (Clinical)
1020 SW TAYLOR ST, SUITE 366
PORTLAND, OR 97205
Multnomah County (503) 295-6265
ALEXANDER FREEMAN
Nurse Practitioner (Psychiatric/Mental Health)
1020 SW TAYLOR ST
PORTLAND, OR 97205
Multnomah County (833) 931-1716
DR. ARTHUR ANDRE SWANSON N.D., L.AC.
Naturopath
1020 SW TAYLOR ST, SUITE 330
PORTLAND, OR 97205
Multnomah County (503) 287-4970
DR. CAROL ARLAND PSY.D.
Psychologist (Clinical)
1020 SW TAYLOR ST, SUITE 670
PORTLAND, OR 97205
Multnomah County (503) 274-7110
ELIZABETH BIRECREE MD
Psychiatry & Neurology (Psychiatry)
1020 SW TAYLOR ST, STE 750
PORTLAND, OR 97205
Multnomah County (503) 288-5261
DR. DIANE B. HOWIESON PH.D.
Clinical Neuropsychologist
1020 SW TAYLOR ST, STE 720
PORTLAND, OR 97205
Multnomah County (503) 827-5135

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 Gerald Deckelbaum's NPI number?

The NPI number for Gerald Deckelbaum is 1336235126. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Gerald Deckelbaum located?

Gerald Deckelbaum practices at 1020 SW Taylor St #445, Portland, OR 97205. The listed phone number is (503) 224-0033.

What is Gerald Deckelbaum's specialty?

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

Is Gerald Deckelbaum enrolled in Medicare?

No. Gerald Deckelbaum has opted out of Medicare through October 1, 2026. 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 Gerald Deckelbaum was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.