TIMOTHY PAUL LANDRY LCSW
NPI 1700340270
Counselor - Mental Health in Cottage Grove, OR

Active since January 29, 2019PECOS EnrolledAccepts Medicare Assignment
1450 BIRCH AVE, COTTAGE GROVE, OR 97424(503) 347-0003 Get Directions Write a Review

NPPES record last updated: March 5, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 5, 2019, Jan 29, 2019 (2 updates tracked since 2019).

About Timothy Paul Landry Lcsw NPPES

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

TIMOTHY PAUL LANDRY LCSW (NPI 1700340270) is an individual mental health provider in Cottage Grove, Oregon, licensed in Oregon (L6526) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS, is affiliated with Peacehealth Cottage Grove Community Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1700340270
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTIMOTHY PAUL LANDRYCredential: LCSW
Location Address1450 BIRCH AVECottage Grove, OR 97424-1417
Mailing AddressPo Box 291Cottage Grove, OR 97424-0010 · (503) 347-0003
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 29, 2019
Last NPPES UpdateMarch 5, 20192 updates tracked since enumeration
✔ NPI 1700340270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · L6526
1450 BIRCH AVE, Cottage Grove, OR 97424

Other Identifiers 1

Other101YM0800XOR · Tax Id

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Timothy Paul Landry Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274967674
PECOS Enrollment IDI20191217002915
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 Reassignments

3

Medicare enrollment records show Timothy Landry reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
1515 VILLAGE DR
Cottage Grove, OR 97424
  • Reassigned Medicare billing, Oregon enrollment
  • 155 clinicians in this Medicare group
Multi-Specialty
98 W OREGON AVE
Creswell, OR 97426
  • Reassigned Medicare billing, Oregon enrollment
  • 83 clinicians in this Medicare group
Family Medicine
1200 HILYARD ST
Eugene, OR 97401
  • Reassigned Medicare billing, Oregon enrollment
  • 412 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Peacehealth Cottage Grove Community Medical Center

Critical Access Hospitals · Cottage Grove, OR
OwnershipVoluntary non-profit - Private
CMS Certification Number381301
Location1515 Village DriveCottage Grove, OR 97424 · Lane County
Emergency services

Other Providers at the Same Location NPPES 8

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

Social Worker (Clinical)
1450 BIRCH AVE
COTTAGE GROVE, OR 97424
Counselor (Mental Health)
1450 BIRCH AVE
COTTAGE GROVE, OR 97424
Bus
1450 BIRCH AVE
COTTAGE GROVE, OR 97424
Social Worker (Clinical)
1450 BIRCH AVE
COTTAGE GROVE, OR 97424
Clinic/Center (Family Planning, Non-Surgical)
1450 BIRCH AVE
COTTAGE GROVE, OR 97424
Peer Specialist
1450 BIRCH AVE
COTTAGE GROVE, OR 97424
Clinic/Center (Family Planning, Non-Surgical)
1450 BIRCH AVE
COTTAGE GROVE, OR 97424
Social Worker (Clinical)
1450 BIRCH AVE
COTTAGE GROVE, OR 97424

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 Timothy Landry's NPI number?

The NPI number for Timothy Landry is 1700340270. It was assigned to this individual provider in the NPPES registry on January 29, 2019.

Where is Timothy Landry located?

Timothy Landry practices at 1450 Birch Ave, Cottage Grove, OR 97424. The listed phone number is (503) 347-0003.

What is Timothy Landry's specialty?

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

Is Timothy Landry enrolled in Medicare?

Yes. Timothy Landry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Timothy Landry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Landry reassigns Medicare benefits to 3 organizations: Peacehealth (Cottage Grove, OR), Peacehealth Medical Group Cottage Grove (Creswell, OR) and Peacehealth Medical Group (Eugene, OR). Each 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 Timothy Landry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Landry accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Timothy Landry 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.

Is Timothy Landry affiliated with any hospitals?

According to CMS data, Timothy Landry is affiliated with Peacehealth Cottage Grove Community Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Landry was last updated on March 5, 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.