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KAI DEVA CARLI MA AT, ATR-P
NPI 1750004057
Counselor - Mental Health in Portland, OR

Active since September 21, 2022PECOS EnrolledAccepts Medicare Assignment
11 NE MLK BLVD STE 203, PORTLAND, OR 97232(971) 350-1122(971) 350-3401 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2025, Sep 27, 2022, Sep 21, 2022 (3 updates tracked since 2022).

About Kai Deva Carli Ma At, Atr-p NPPES

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

KAI DEVA CARLI MA AT, ATR-P (NPI 1750004057) is an individual mental health provider in Portland, Oregon and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1750004057
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKAI DEVA CARLICredential: MA AT, ATR-P
Location Address11 NE MLK BLVD STE 203Portland, OR 97232-3579
Mailing Address8915 Sw Center StTigard, OR 97223-6307 · (503) 726-3690
Phone(971) 350-1122
Fax(971) 350-3401
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 21, 2022
Last NPPES UpdateMarch 17, 20253 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1750004057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedArt TherapistTaxonomy 221700000X
11 NE MLK BLVD STE 203, Portland, OR 97232
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.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

Kai Deva Carli Ma At, Atr-p 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 ID547736464
PECOS Enrollment IDI20260417003063
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 Reassignment

Medicare enrollment records show Kai Carli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New Narrative
8.1 mi
Mental Health (Including Community Mental Health Center)
8915 SW CENTER ST
Tigard, OR 97223
  • Reassigned Medicare billing, Oregon enrollment
  • 13 clinicians in this Medicare group
NPI 1265595664 (503) 726-3690

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 4

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

JOHN MATTHEW LIVENGOOD
Counselor (Mental Health)
11 NE MLK BLVD STE 203
PORTLAND, OR 97232
Multnomah County (971) 350-1122
REBEL HEART THERAPY LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
11 NE MLK BLVD STE 203
PORTLAND, OR 97232
Multnomah County (971) 350-1122
TAMARA WERNER-FITZ GIBBON LPC, LMHC
Counselor (Mental Health)
11 NE MLK BLVD STE 203
PORTLAND, OR 97232
Multnomah County (971) 350-1122
RYAN JOSEPH SULLIVAN
Counselor (Mental Health)
11 NE MLK BLVD STE 203
PORTLAND, OR 97232
Multnomah County (503) 962-0743

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 Kai Carli's NPI number?

The NPI number for Kai Carli is 1750004057. It was assigned to this individual provider in the NPPES registry on September 21, 2022.

Where is Kai Carli located?

Kai Carli practices at 11 NE Mlk Blvd Ste 203, Portland, OR 97232. The listed phone number is (971) 350-1122.

What is Kai Carli's specialty?

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

Is Kai Carli enrolled in Medicare?

Yes. Kai Carli 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 organization bills Medicare for Kai Carli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kai Carli reassigns Medicare benefits to New Narrative (Tigard, OR). The 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 Kai Carli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kai Carli accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Kai Carli 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 Kai Carli was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.