XYLEM NILSEN LCSW, QMHP
NPI 1447655105
Counselor - Mental Health in Beaverton, OR

Q: What is Xylem Nilsen's NPI number?

The NPI number for Xylem Nilsen is 1447655105. It was assigned to this individual provider in the NPPES registry on October 23, 2014. The provider is also known as Kari Anne Nilsen.

Q: What is Xylem Nilsen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Xylem Nilsen was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since October 23, 2014PECOS EnrolledAccepts Medicare Assignment

10700 SW BEAVERTON HILLSDALE HWY STE 560, BEAVERTON, OR 97005(971) 431-8968(971) 351-6979 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2025, Nov 19, 2024 (2 updates tracked since 2024).

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About Xylem Nilsen Lcsw, Qmhp NPPES

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

XYLEM NILSEN LCSW, QMHP (NPI 1447655105) is an individual mental health provider in Beaverton, Oregon, licensed in Oregon (L11474) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1447655105

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameXYLEM NILSENCredential: LCSW, QMHP

Location Address10700 SW BEAVERTON HILLSDALE HWY STE 560Beaverton, OR 97005-4791

Mailing Address1336 Nw Flanders St, Pmb 215Portland, OR 97209 · (971) 431-8968 · Fax (971) 351-6979

Phone(971) 431-8968

Fax(971) 351-6979

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 23, 2014

Last NPPES UpdateOctober 24, 20252 updates tracked since enumeration

NPPES CertifiedOctober 24, 2025

✔ NPI 1447655105 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 · L11474

10700 SW BEAVERTON HILLSDALE HWY STE 560, Beaverton, OR 97005

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Other Names 1

Former Name (1)Kari Anne Nilsen

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Xylem Nilsen Lcsw, Qmhp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133612716

PECOS Enrollment IDI20251202003341

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.

GEORGE POLISZUK LMFT

Counselor (Mental Health)