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KRISTEN ANN GENZANO
NPI 1679924583
Counselor - Professional in Portland, OR

Active since June 22, 2016Opted out of Medicare · through Apr 4, 2028
8885 SW CANYON RD STE 215, PORTLAND, OR 97225(971) 712-6260 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 6, 2022, Nov 11, 2020, Mar 22, 2017 and 1 more (4 updates tracked since 2016).

About Kristen Ann Genzano NPPES

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

KRISTEN ANN GENZANO (NPI 1679924583) is an individual professional provider in Portland, Oregon, licensed in Oregon (C4447) and active in the NPI registry since June 2016. She has opted out of Medicare through April 4, 2028 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679924583
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKRISTEN ANN GENZANO
Location Address8885 SW CANYON RD STE 215Portland, OR 97225-3429
Mailing Address5126 Ne 32nd AvePortland, OR 97211-6940 · (480) 250-5932
Phone(971) 712-6260
Sole ProprietorYes
Enumeration DateJune 22, 2016
Last NPPES UpdateApril 6, 20224 updates tracked since enumeration
NPPES CertifiedApril 6, 2022
✔ NPI 1679924583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C4447
Also ListedCounselorTaxonomy 101Y00000X · License 178.011112 (IL)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LH60665316 (WA)
8885 SW CANYON RD STE 215, Portland, OR 97225
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15300 SE Foster RdPortland, OR 97206-2938 · Phone (480) 250-5932
Location 2510 SW 3rd Avenue, Suite 210Portland, OR 97204-2635 · Phone (480) 250-5932

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kristen Ann Genzano 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 April 4, 2024 through April 4, 2028.

Opt-Out Effective DateApril 4, 2024
Opt-Out In Effect ThroughApril 4, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTEN GENZANO THERAPY LLC
Counselor
8885 SW CANYON RD STE 215
PORTLAND, OR 97225
Washington County (971) 712-6260

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 Kristen Genzano's NPI number?

The NPI number for Kristen Genzano is 1679924583. It was assigned to this individual provider in the NPPES registry on June 22, 2016.

Where is Kristen Genzano located?

Kristen Genzano practices at 8885 SW Canyon Rd Ste 215, Portland, OR 97225. The listed phone number is (971) 712-6260.

What is Kristen Genzano's specialty?

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

Is Kristen Genzano enrolled in Medicare?

No. Kristen Genzano has opted out of Medicare through April 4, 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 Kristen Genzano was last updated on April 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.