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MS. KIMBERLY A CONROW MA, LPC, CADC-1
NPI 1497893143
Counselor - Professional in Portland, OR

Active since February 02, 2007Opted out of Medicare · through Jan 1, 2028
818 NW 17TH AVE, SUITE 1, PORTLAND, OR 97209(503) 248-0011(503) 233-3883 Get Directions Write a Review

NPPES record last updated: August 11, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Kimberly A Conrow Ma, Lpc, Cadc-1 NPPES

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

MS. KIMBERLY A CONROW MA, LPC, CADC-1 (NPI 1497893143) is an individual professional provider in Portland, Oregon, licensed in Oregon (C2131) and active in the NPI registry since February 2007. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1497893143
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. KIMBERLY A CONROWCredential: MA, LPC, CADC-1
Location Address818 NW 17TH AVE, SUITE 1Portland, OR 97209-2327
Mailing Address1552 N Simpson StPortland, OR 97217-4653 · (503) 422-1789
Phone(503) 248-0011
Fax(503) 233-3883
Sole ProprietorYes
Enumeration DateFebruary 2, 2007
Last NPPES UpdateAugust 11, 2014
✔ NPI 1497893143 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 · C2131
818 NW 17TH AVE, Portland, OR 97209
Open in Google Maps ↗

Other Names 1

Former Name (1)Mrs. Kimberly A Walen Ma, Cadc I

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Kimberly A Conrow Ma, Lpc, Cadc-1 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

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYN MCNEILL JENKS MA
Psychologist
818 NW 17TH AVE
PORTLAND, OR 97209
Multnomah County (503) 248-2189
TIM JOHN HAGGE LCSW
Social Worker (Clinical)
818 NW 17TH AVE, SUITE 10
PORTLAND, OR 97209
Multnomah County (503) 309-3978
THRESHOLD INTEGRATIVE MENTAL HEALTH LLC
Nurse Practitioner (Psychiatric/Mental Health)
818 NW 17TH AVE
PORTLAND, OR 97209
Multnomah County (503) 919-4129
BEN CHRISTOPHER JEW MD
Psychiatry & Neurology (Psychiatry)
818 NW 17TH AVE, SUITE #8
PORTLAND, OR 97209
Multnomah County (503) 764-1551
JOYCE A. KORSCHGEN, LPC, PC
Counselor (Professional)
818 NW 17TH AVE, SUITE #3
PORTLAND, OR 97209
Multnomah County (503) 221-4531
R. M. ANDREWS & ASSOCIATES LLC
Social Worker (Clinical)
818 NW 17TH AVE, SUITE 6
PORTLAND, OR 97209
Multnomah County (503) 703-9833
MS. MOLLY PEARL OWEN PETERS L.M.T.
Massage Therapist
818 NW 17TH AVE, SUITE 6
PORTLAND, OR 97209
Multnomah County (651) 307-2444
MR. ROBERT M ANDREWS LCSW, QCSW
Social Worker (Clinical)
818 NW 17TH AVE, SUITE 6
PORTLAND, OR 97209
Multnomah County (503) 703-9833

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 Kimberly Conrow's NPI number?

The NPI number for Kimberly Conrow is 1497893143. It was assigned to this individual provider in the NPPES registry on February 2, 2007. The provider is also known as Mrs. Kimberly A Walen Ma, Cadc I.

Where is Kimberly Conrow located?

Kimberly Conrow practices at 818 NW 17th Ave Suite 1, Portland, OR 97209. The listed phone number is (503) 248-0011.

What is Kimberly Conrow's specialty?

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

Is Kimberly Conrow enrolled in Medicare?

No. Kimberly Conrow 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.

When was this NPI record last updated?

The NPPES record for Kimberly Conrow was last updated on August 11, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.