ANDREW DECKER
NPI 1740837012
Counselor - Mental Health in Portland, OR

Active since August 21, 2019PECOS EnrolledAccepts Medicare Assignment
19500 SE STARK ST, PORTLAND, OR 97233(800) 813-2000 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2025, Aug 21, 2019 (2 updates tracked since 2019).

About Andrew Decker NPPES

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

ANDREW DECKER (NPI 1740837012) is an individual mental health provider in Portland, Oregon, licensed in Oregon (T2097) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Medford, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1740837012
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameANDREW DECKER
Location Address19500 SE STARK STPortland, OR 97233-5757
Mailing Address500 Ne Multnomah St Fl 11Portland, OR 97232-2023
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 21, 2019
Last NPPES UpdateOctober 6, 20252 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
✔ NPI 1740837012 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 · T2097
19500 SE STARK ST, Portland, OR 97233

Secondary Practice Location 1

Location 11175 E Main St Ste C1Medford, OR 97504-7457 · Phone (541) 772-0127

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

Andrew Decker 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 ID6901328715
PECOS Enrollment IDI20250321001515
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

2

Medicare enrollment records show Andrew Decker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Skilled Nursing Facility
405 NE 5TH ST
Gresham, OR 97030
  • Reassigned Medicare billing, Oregon enrollment
  • Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
  • 3,207 clinicians in this Medicare group
Primary Care
2236 SE BELMONT ST
Portland, OR 97214
  • Reassigned Medicare billing, Oregon enrollment
  • 19 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.

Other Providers at the Same Location NPPES 20

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

Counselor (Addiction (Substance Use Disorder))
19500 SE STARK ST
PORTLAND, OR 97233
Nurse Practitioner (Family)
19500 SE STARK ST, PORTLAND
PORTLAND, OR 97233
Student in an Organized Health Care Education/Training Program
19500 SE STARK ST
PORTLAND, OR 97233
Counselor (Addiction (Substance Use Disorder))
19500 SE STARK ST
PORTLAND, OR 97233
Psychologist (Clinical)
19500 SE STARK ST
PORTLAND, OR 97233
Advanced Practice Midwife
19500 SE STARK ST
PORTLAND, OR 97233
Internal Medicine
19500 SE STARK ST
PORTLAND, OR 97233
Social Worker
19500 SE STARK ST
PORTLAND, OR 97233

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 Andrew Decker's NPI number?

The NPI number for Andrew Decker is 1740837012. It was assigned to this individual provider in the NPPES registry on August 21, 2019.

Where is Andrew Decker located?

Andrew Decker practices at 19500 SE Stark St, Portland, OR 97233. The listed phone number is (800) 813-2000.

What is Andrew Decker's specialty?

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

Is Andrew Decker enrolled in Medicare?

Yes. Andrew Decker 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 Andrew Decker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Decker reassigns Medicare benefits to 2 organizations: Sapphire At Gresham Rehab, LLC (Gresham, OR) and Cascade Aids Project (Portland, 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 Andrew Decker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Decker accept?

Health plans from Kaiser Permanente and Moda Health Plan, Inc. list Andrew Decker 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.

When was this NPI record last updated?

The NPPES record for Andrew Decker was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.