NICOLE PROPHET MS, LPC
NPI 1487108460
Counselor in Portland, OR

Active since August 08, 2016PECOS Enrolled
7227 SE THORBURN ST, PORTLAND, OR 97215(971) 865-3573(971) 999-0908 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 2, 2023, Aug 8, 2016 (2 updates tracked since 2016).

About Nicole Prophet Ms, Lpc NPPES

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

NICOLE PROPHET MS, LPC (NPI 1487108460) is an individual counselor in Portland, Oregon, licensed in Oregon (C6307) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487108460
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameNICOLE PROPHETCredential: MS, LPC
Location Address7227 SE THORBURN STPortland, OR 97215-1434
Mailing Address7901 Se Powell Blvd, Ste B, #111Portland, OR 97206-2331 · (971) 865-3573 · Fax (971) 999-0908
Fax(971) 999-0908
Sole ProprietorYes
Enumeration DateAugust 8, 2016
Last NPPES UpdateNovember 2, 20232 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
✔ NPI 1487108460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OR · C6307
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
7227 SE THORBURN ST, Portland, OR 97215

Other Names 1

Other Name (5)Cole Prophet Ms, Lpc

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)

Nicole Prophet Ms, Lpc 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 Nicole Prophet reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
905 SE 14TH AVE
Portland, OR 97214
  • Reassigned Medicare billing, Oregon enrollment
  • 60 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.

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 Nicole Prophet's NPI number?

The NPI number for Nicole Prophet is 1487108460. It was assigned to this individual provider in the NPPES registry on August 8, 2016. The provider is also known as Cole Prophet Ms, Lpc.

Where is Nicole Prophet located?

Nicole Prophet practices at 7227 SE Thorburn St, Portland, OR 97215. The listed phone number is (971) 865-3573.

What is Nicole Prophet's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Nicole Prophet enrolled in Medicare?

Yes. Nicole Prophet is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Prophet's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Prophet reassigns Medicare benefits to Larsen Sanchez Psychology, LLC (Portland, 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 Nicole Prophet's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Prophet accept?

Health plans from Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Nicole Prophet 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 Nicole Prophet was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.