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MS. JULIANN ADELE SQUIRES LPC, LMT
NPI 1619340742
Counselor - Mental Health in Portland, OR

Active since November 11, 2015PECOS Enrolled
3615 NE GRAND AVE, PORTLAND, OR 97212(503) 281-0787 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 4, 2026, Nov 8, 2022, Nov 11, 2015 (3 updates tracked since 2015).

About Ms. Juliann Adele Squires Lpc, Lmt NPPES

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

MS. JULIANN ADELE SQUIRES LPC, LMT (NPI 1619340742) is an individual mental health provider in Portland, Oregon, licensed in Oregon (C11420) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1619340742
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. JULIANN ADELE SQUIRESCredential: LPC, LMT
Location Address3615 NE GRAND AVEPortland, OR 97212-2104
Mailing Address2840 Se 31st AvePortland, OR 97202-1408 · (503) 447-6879
Phone(503) 281-0787
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 11, 2015
Last NPPES UpdateMay 4, 20263 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1619340742 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 · C11420
Also ListedMassage TherapistTaxonomy 225700000X · License 14582 (OR)
3615 NE GRAND AVE, Portland, OR 97212
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Juliann Adele Squires Lpc, Lmt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446735708
PECOS Enrollment IDI20260403001588
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 Juliann Squires reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Owls Nest North Therapy Joint
Same address
Marriage & Family Therapist
3615 NE GRAND AVE
Portland, OR 97212
  • Reassigned Medicare billing, Oregon enrollment
  • 11 clinicians in this Medicare group
NPI 1376948232 (503) 281-1166

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.

CASSANDRA MOORE
Counselor
3615 NE GRAND AVE
PORTLAND, OR 97212
Multnomah County (503) 281-1166
RACHEL ELIZABETH HIRSCH
Counselor (Mental Health)
3615 NE GRAND AVE
PORTLAND, OR 97212
Multnomah County (503) 281-1166
TASYA HERSKOVITS
Marriage & Family Therapist
3615 NE GRAND AVE
PORTLAND, OR 97212
Multnomah County (503) 281-1166
RUBY BEBEKIAN
Counselor (Mental Health)
3615 NE GRAND AVE
PORTLAND, OR 97212
Multnomah County (503) 281-1166
KIMBERLY ANN KNIGHT MACOM, LAC
Acupuncturist
3615 NE GRAND AVE
PORTLAND, OR 97212
Multnomah County (503) 200-7579
MS. CHRISTIANA MALINI TUCK
Counselor (Mental Health)
3615 NE GRAND AVE
PORTLAND, OR 97212
Multnomah County (503) 281-1166
ANNA BROWN
Counselor (Mental Health)
3615 NE GRAND AVE
PORTLAND, OR 97212
Multnomah County (503) 281-1166
MARTA OLEJNICZAK
Counselor
3615 NE GRAND AVE
PORTLAND, OR 97212
Multnomah County (503) 281-1166

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 Juliann Squires's NPI number?

The NPI number for Juliann Squires is 1619340742. It was assigned to this individual provider in the NPPES registry on November 11, 2015.

Where is Juliann Squires located?

Juliann Squires practices at 3615 NE Grand Ave, Portland, OR 97212. The listed phone number is (503) 281-0787.

What is Juliann Squires's specialty?

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

Is Juliann Squires enrolled in Medicare?

Yes. Juliann Squires is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Juliann Squires's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juliann Squires reassigns Medicare benefits to Owls Nest North Therapy Joint (Portland, OR). The 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 Juliann Squires's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Juliann Squires was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.