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HEATHER ANN ACKLES LCSW
NPI 1609419357
Counselor - Mental Health in Portland, OR

Active since October 25, 2019Opted out of Medicare · through Jan 22, 2028
4905 NE 16TH AVE, PORTLAND, OR 97211(503) 498-6879 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2022, Oct 25, 2019 (2 updates tracked since 2019).

About Heather Ann Ackles Lcsw NPPES

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

HEATHER ANN ACKLES LCSW (NPI 1609419357) is an individual mental health provider in Portland, Oregon, licensed in Oregon (NONE) and active in the NPI registry since October 2019. She has opted out of Medicare through January 22, 2028 and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1609419357
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameHEATHER ANN ACKLESCredential: LCSW
Location Address4905 NE 16TH AVEPortland, OR 97211-5041
Mailing Address4905 Ne 16th AvePortland, OR 97211-5041 · (503) 473-9482
Phone(503) 498-6879
Sole ProprietorYes
Enumeration DateOctober 25, 2019
Last NPPES UpdateJuly 28, 20222 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1609419357 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 · NONE
4905 NE 16TH AVE, Portland, OR 97211
Open in Google Maps ↗

Secondary Practice Location 1

Location 133 NW BroadwayPortland, OR 97209-3580 · Phone (503) 228-7419

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Heather Ann Ackles Lcsw 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 22, 2024 through January 22, 2028.

Opt-Out Effective DateJanuary 22, 2024
Opt-Out In Effect ThroughJanuary 22, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Heather Ackles's NPI number?

The NPI number for Heather Ackles is 1609419357. It was assigned to this individual provider in the NPPES registry on October 25, 2019.

Where is Heather Ackles located?

Heather Ackles practices at 4905 NE 16th Ave, Portland, OR 97211. The listed phone number is (503) 498-6879.

What is Heather Ackles's specialty?

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

Is Heather Ackles enrolled in Medicare?

No. Heather Ackles has opted out of Medicare through January 22, 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 Heather Ackles was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.