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GRACIE JAMES DILLEY-BUCCIARELLI
NPI 1508416546
Marriage & Family Therapist in Portland, OR

Active since September 11, 2019Opted out of Medicare · through Apr 1, 2028
4036 NE SANDY BLVD STE 203, PORTLAND, OR 97212(503) 953-0957 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 6, 2023, Jul 14, 2020, Sep 11, 2019 (3 updates tracked since 2019).

About Gracie James Dilley-bucciarelli NPPES

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

GRACIE JAMES DILLEY-BUCCIARELLI (NPI 1508416546) is an individual marriage & family therapist in Portland, Oregon, licensed in Oregon (T2430) and active in the NPI registry since September 2019. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1508416546
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameGRACIE JAMES DILLEY-BUCCIARELLI
Location Address4036 NE SANDY BLVD STE 203Portland, OR 97212-5335
Mailing Address4036 Ne Sandy Blvd Ste 3Portland, OR 97212-5335
Phone(503) 953-0957
Sole ProprietorNo
Enumeration DateSeptember 11, 2019
Last NPPES UpdateDecember 6, 20233 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
✔ NPI 1508416546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in OR · T2430
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
4036 NE SANDY BLVD STE 203, Portland, OR 97212
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Gracie James Dilley-bucciarelli 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 April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Gracie Dilley-bucciarelli's NPI number?

The NPI number for Gracie Dilley-bucciarelli is 1508416546. It was assigned to this individual provider in the NPPES registry on September 11, 2019.

Where is Gracie Dilley-bucciarelli located?

Gracie Dilley-bucciarelli practices at 4036 NE Sandy Blvd Ste 203, Portland, OR 97212. The listed phone number is (503) 953-0957.

What is Gracie Dilley-bucciarelli's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Gracie Dilley-bucciarelli enrolled in Medicare?

No. Gracie Dilley-bucciarelli has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Gracie Dilley-bucciarelli accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Gracie Dilley-bucciarelli 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 Gracie Dilley-bucciarelli was last updated on December 6, 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.