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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

BETHANY HAUG
NPI 1649892894
Counselor - Professional in Portland, OR

Active since May 11, 2020Opted out of Medicare · through Jan 19, 2028
4914 NE ALBERTA ST, PORTLAND, OR 97218(503) 498-8063 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2026, Jul 21, 2026, Jan 15, 2026 and 1 more (4 updates tracked since 2020).

About Bethany Haug NPPES

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

BETHANY HAUG (NPI 1649892894) is an individual professional provider in Portland, Oregon, licensed in Oregon (C7018) and active in the NPI registry since May 2020. She has opted out of Medicare through January 19, 2028 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1649892894
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameBETHANY HAUG
Location Address4914 NE ALBERTA STPortland, OR 97218-2026
Mailing Address4914 Ne Alberta StPortland, OR 97218-2026
Phone(503) 498-8063
Sole ProprietorYes
Enumeration DateMay 11, 2020
Last NPPES UpdateJuly 27, 20264 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
✔ NPI 1649892894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C7018
4914 NE ALBERTA ST, Portland, OR 97218
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Secondary Practice Locations 2

Location 12455 NW Marshall St Ste 14Portland, OR 97210-2949 · Phone (503) 498-8063
Location 25932 NE Glisan StPortland, OR 97213-3754 · Phone (503) 498-8063

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Bethany Haug 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 19, 2024 through January 19, 2028.

Opt-Out Effective DateJanuary 19, 2024
Opt-Out In Effect ThroughJanuary 19, 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 Bethany Haug's NPI number?

The NPI number for Bethany Haug is 1649892894. It was assigned to this individual provider in the NPPES registry on May 11, 2020.

Where is Bethany Haug located?

Bethany Haug practices at 4914 NE Alberta St, Portland, OR 97218. The listed phone number is (503) 498-8063.

What is Bethany Haug's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Bethany Haug enrolled in Medicare?

No. Bethany Haug has opted out of Medicare through January 19, 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 Bethany Haug was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.