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NICOLE KAMMERLOCHER
NPI 1730712688
Counselor - Mental Health in Lake Oswego, OR

Active since February 19, 2020Opted out of Medicare · through Mar 17, 2027
14523 WESTLAKE DR STE 17, LAKE OSWEGO, OR 97035(503) 941-0856 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Kammerlocher NPPES

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

NICOLE KAMMERLOCHER (NPI 1730712688) is an individual mental health provider in Lake Oswego, Oregon and active in the NPI registry since February 2020. She has opted out of Medicare through March 17, 2027.

NPPES Registry Identity

NPI1730712688
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE KAMMERLOCHER
Location Address14523 WESTLAKE DR STE 17Lake Oswego, OR 97035-7700
Mailing Address1417 Sw 10th AvePortland, OR 97201-3440 · (405) 412-9565
Phone(503) 941-0856
Sole ProprietorNo
Enumeration DateFebruary 19, 2020
✔ NPI 1730712688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
14523 WESTLAKE DR STE 17, Lake Oswego, OR 97035
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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

Nicole Kammerlocher 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 March 17, 2025 through March 17, 2027.

Opt-Out Effective DateMarch 17, 2025
Opt-Out In Effect ThroughMarch 17, 2027Opt-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 Nicole Kammerlocher's NPI number?

The NPI number for Nicole Kammerlocher is 1730712688. It was assigned to this individual provider in the NPPES registry on February 19, 2020.

Where is Nicole Kammerlocher located?

Nicole Kammerlocher practices at 14523 Westlake Dr Ste 17, Lake Oswego, OR 97035. The listed phone number is (503) 941-0856.

What is Nicole Kammerlocher's specialty?

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

Is Nicole Kammerlocher enrolled in Medicare?

No. Nicole Kammerlocher has opted out of Medicare through March 17, 2027. 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 Nicole Kammerlocher was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.