ANDREA LUCIO ROSALES MA
NPI 1578945929
Counselor - Mental Health in Hillsboro, OR

Q: What is Andrea Lucio Rosales's NPI number?

The NPI number for Andrea Lucio Rosales is 1578945929. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Q: What is Andrea Lucio Rosales's specialty?

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

Active since June 22, 2015PECOS EnrolledAccepts Medicare Assignment

9620 NE TANASBOURNE DR STE 300, HILLSBORO, OR 97124(503) 207-5476 Get Directions Write a Review

NPPES record last updated: November 23, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 23, 2022, Apr 20, 2021 (2 updates tracked since 2021).

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About Andrea Lucio Rosales Ma NPPES

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

ANDREA LUCIO ROSALES MA (NPI 1578945929) is an individual mental health provider in Hillsboro, Oregon, licensed in Oregon (R6312) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1578945929

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameANDREA LUCIO ROSALESCredential: MA

Location Address9620 NE TANASBOURNE DR STE 300Hillsboro, OR 97124-7844

Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769

Phone(503) 207-5476

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 22, 2015

Last NPPES UpdateNovember 23, 20222 updates tracked since enumeration

NPPES CertifiedNovember 23, 2022

✔ NPI 1578945929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OR · R6312

Also ListedAdult CompanionTaxonomy 372600000X

9620 NE TANASBOURNE DR STE 300, Hillsboro, OR 97124

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Secondary Practice Location 1

Location 1847 NE 19th Ave, Suite 100Portland, OR 97232-2684 · Phone (503) 238-0769

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea Lucio Rosales Ma 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 ID8628504057

PECOS Enrollment IDI20241210000194

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 Andrea Lucio Rosales reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lifeline Medical Center

1,909 mi

Family Medicine

2101 JACKSON ST STE 109
Anderson, IN 46016

Reassigned Medicare billing, Oregon enrollment
26 clinicians in this Medicare group

NPI 1265160451 (814) 408-0014

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JAMES BREWSTER WHALEN MA, LPC

Counselor (Professional)