QUIET WATERS COUNSELING LLC
NPI 1609626076
Counselor - Professional in Dallas, OR
About Quiet Waters Counseling Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
QUIET WATERS COUNSELING LLC (NPI 1609626076) is a healthcare organization registered as a professional in Dallas, Oregon and active in the NPI registry since March 2024. The organization lists Kimberli Ann Wicks, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Quiet Waters Counseling Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Quiet Waters Counseling LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Quiet Waters Counseling LLC's NPI number?
The NPI number for Quiet Waters Counseling LLC is 1609626076. It was assigned to this organization in the NPPES registry on March 26, 2024.
Where is Quiet Waters Counseling LLC located?
Quiet Waters Counseling LLC is located at 1277 SE Shelton St, Dallas, OR 97338. The listed phone number is (458) 233-3136.
What is Quiet Waters Counseling LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Quiet Waters Counseling LLC enrolled in Medicare?
Yes. Quiet Waters Counseling LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Quiet Waters Counseling LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Quiet Waters Counseling LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Quiet Waters Counseling LLC accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Quiet Waters Counseling LLC 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 Quiet Waters Counseling LLC was last updated on March 26, 2024. 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.
# Quiet Waters Counseling Llc · NPI 1609626076
Professional organization in Dallas, Oregon. Organization record, active in the CMS NPPES registry since March 26, 2024.
## Identity
- **NPI:** 1609626076 (Entity type: Organization)
- **Enumerated:** March 26, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Kimberli Wicks, OWNER
## Practice location
- **Address:** 1277 SE SHELTON ST, Dallas, OR 97338-2537
- **Phone:** (458) 233-3136 · **Fax:** (800) 433-1396
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1609626076) · Data from the CMS NPPES public registry.