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FELICIA AIMI WALLBERG
NPI 1689138638
Counselor in Tualatin, OR

Active since January 24, 2019Opted out of Medicare · through Jan 1, 2028
19824 SW 72ND AVE STE 102, TUALATIN, OR 97062(503) 773-8600 Get Directions Write a Review

NPPES record last updated: January 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Felicia Aimi Wallberg NPPES

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

FELICIA AIMI WALLBERG (NPI 1689138638) is an individual counselor in Tualatin, Oregon, licensed in Oregon (R-5070) and active in the NPI registry since January 2019. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1689138638
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameFELICIA AIMI WALLBERG
Location Address19824 SW 72ND AVE STE 102Tualatin, OR 97062-8398
Mailing Address13823 Nw Mill Creek DrPortland, OR 97229-5722 · (503) 421-1919
Phone(503) 773-8600
Sole ProprietorYes
Enumeration DateJanuary 24, 2019
✔ NPI 1689138638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OR · R-5070
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
19824 SW 72ND AVE STE 102, Tualatin, OR 97062
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Felicia Aimi Wallberg 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 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

MICHELLE ENGBLOM-DEGLMANN LMFT
Marriage & Family Therapist
19824 SW 72ND AVE STE 102
TUALATIN, OR 97062
Washington County (503) 610-3676
MEGHAN LUNDEEN PENCE MA
Marriage & Family Therapist
19824 SW 72ND AVE STE 102
TUALATIN, OR 97062
Washington County (503) 908-9084
MRS. AUDRA DIANA MAHONEY
Counselor (Professional)
19824 SW 72ND AVE STE 102
TUALATIN, OR 97062
Washington County (503) 447-4323
MONTE SCHMIDT
Counselor (Mental Health)
19824 SW 72ND AVE STE 102
TUALATIN, OR 97062
Washington County (503) 610-3676

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 Felicia Wallberg's NPI number?

The NPI number for Felicia Wallberg is 1689138638. It was assigned to this individual provider in the NPPES registry on January 24, 2019.

Where is Felicia Wallberg located?

Felicia Wallberg practices at 19824 SW 72nd Ave Ste 102, Tualatin, OR 97062. The listed phone number is (503) 773-8600.

What is Felicia Wallberg's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Felicia Wallberg enrolled in Medicare?

No. Felicia Wallberg has opted out of Medicare through January 1, 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 Felicia Wallberg was last updated on January 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.