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LYDIAN BOWLEY LPC
NPI 1790442978
Counselor - Professional in Portland, OR

Active since November 22, 2021PECOS Enrolled
9205 SW BARNES RD, PORTLAND, OR 97225(503) 216-1234 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 15, 2026, Nov 22, 2021 (2 updates tracked since 2021).

About Lydian Bowley Lpc NPPES

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

LYDIAN BOWLEY LPC (NPI 1790442978) is an individual professional provider in Portland, Oregon, licensed in Oregon (C6604) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1790442978
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLYDIAN BOWLEYCredential: LPC
Location Address9205 SW BARNES RDPortland, OR 97225-6603
Mailing Address117 E 37th StLoveland, CO 80538-2306
Phone(503) 216-1234
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 22, 2021
Last NPPES UpdateJanuary 15, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1790442978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C6604
9205 SW BARNES RD, Portland, OR 97225
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lydian Bowley Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436624657
PECOS Enrollment IDI20260406002383
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 Lydian Bowley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services - Oregon
Same address
General Acute Care Hospital
9205 SW BARNES RD
Portland, OR 97225
  • Reassigned Medicare billing, Oregon enrollment
  • 753 clinicians in this Medicare group
NPI 1114015971 (503) 451-3000
Providence Health & Services - Oregon
7.9 mi
General Acute Care Hospital
4805 NE GLISAN ST
Portland, OR 97213
  • Reassigned Medicare billing, Oregon enrollment
  • 676 clinicians in this Medicare group
NPI 1003991845 (503) 451-3000

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.

DR. VICTOR NGUYEN PHAM M.D.
Hospitalist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-2906
YEVGENY BULOCHNIK PHARMD
Pharmacist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-3299
MR. DANIEL PAUL ADDY C.R.N.A.
Nurse Anesthetist, Certified Registered
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-1234
MR. JONATHAN DAVID CAULLEY PT
Physical Therapist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-2610
EMILY ECHTENKAMP LCSW, CADC III, MAC
Counselor (Mental Health)
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-1234
BRIAN J KEARNS MD
Hospitalist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-2906
DR. JAMES S PUTNAM MD
Radiology (Vascular & Interventional Radiology)
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-4830
MATTHEW CARSTENS FRANK M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (303) 859-4275

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 Lydian Bowley's NPI number?

The NPI number for Lydian Bowley is 1790442978. It was assigned to this individual provider in the NPPES registry on November 22, 2021.

Where is Lydian Bowley located?

Lydian Bowley practices at 9205 SW Barnes Rd, Portland, OR 97225. The listed phone number is (503) 216-1234.

What is Lydian Bowley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Lydian Bowley enrolled in Medicare?

Yes. Lydian Bowley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lydian Bowley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lydian Bowley reassigns Medicare benefits to 2 organizations: Providence Health & Services - Oregon (Portland, OR) and Providence Health & Services - Oregon (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 Lydian Bowley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lydian Bowley was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.