KATHRYN CONYERS LPC
NPI 1750949343
Counselor - Mental Health in Gladstone, OR
About Kathryn Conyers Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHRYN CONYERS LPC (NPI 1750949343) is an individual mental health provider in Gladstone, Oregon, licensed in (C7351) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Kathryn Conyers Lpc 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.
Medicare Billing Reassignment
Medicare enrollment records show Kathryn Conyers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97204
- Reassigned Medicare billing, Oregon enrollment
- 29 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.
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 Kathryn Conyers's NPI number?
The NPI number for Kathryn Conyers is 1750949343. It was assigned to this individual provider in the NPPES registry on May 30, 2019.
Where is Kathryn Conyers located?
Kathryn Conyers practices at 880 82nd Dr Bldg A, Gladstone, OR 97027. The listed phone number is (503) 659-5515.
What is Kathryn Conyers's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kathryn Conyers enrolled in Medicare?
Yes. Kathryn Conyers 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 Kathryn Conyers's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Conyers reassigns Medicare benefits to Psychological Services Connection LLC (Portland, 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 Kathryn Conyers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathryn Conyers 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 Kathryn Conyers 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 Kathryn Conyers was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kathryn Conyers, LPC · NPI 1750949343
Mental Health provider in Gladstone, Oregon. Individual provider, active in the CMS NPPES registry since May 30, 2019.
## Identity
- **NPI:** 1750949343 (Entity type: Individual)
- **Enumerated:** May 30, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** C7351
- **Sole proprietor:** No
## Practice location
- **Address:** 880 82ND DR BLDG A, Gladstone, OR 97027-1803
- **Phone:** (503) 659-5515
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Psychological Services Connection LLC (NPI 1275260465, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** April 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1750949343) · Data from the CMS NPPES public registry.