CAMILLE VIDRINE
NPI 1811620883
Counselor - Mental Health in Beaverton, OR

Active since July 06, 2022PECOS Enrolled
9670 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005(971) 229-4009(866) 324-6009 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2026, Jun 17, 2025, Jul 6, 2022 (3 updates tracked since 2022).

About Camille Vidrine NPPES

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

CAMILLE VIDRINE (NPI 1811620883) is an individual mental health provider in Beaverton, Oregon, licensed in Oregon (C11308) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1811620883
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCAMILLE VIDRINE
Location Address9670 SW BEAVERTON HILLSDALE HWYBeaverton, OR 97005-3307
Mailing Address7055 Sw Ivy Ln Apt 1Portland, OR 97225-1151 · (775) 376-2565
Fax(866) 324-6009
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 6, 2022
Last NPPES UpdateMarch 3, 20263 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
✔ NPI 1811620883 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 · C11308
9670 SW BEAVERTON HILLSDALE HWY, Beaverton, OR 97005

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Camille Vidrine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123500451
PECOS Enrollment IDI20260305000598
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 Camille Vidrine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
9670 SW BEAVERTON HILLSDALE HWY
Beaverton, OR 97005
  • Reassigned Medicare billing, Oregon enrollment
  • 46 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 (Mental Health)
9670 SW BEAVERTON HILLSDALE HWY
BEAVERTON, OR 97005
Counselor (Professional)
9670 SW BEAVERTON HILLSDALE HWY
BEAVERTON, OR 97005
Marriage & Family Therapist
9670 SW BEAVERTON HILLSDALE HWY
BEAVERTON, OR 97005
Behavior Analyst
9670 SW BEAVERTON HILLSDALE HWY
BEAVERTON, OR 97005
Counselor (Mental Health)
9670 SW BEAVERTON HILLSDALE HWY
BEAVERTON, OR 97005
Counselor (Professional)
9670 SW BEAVERTON HILLSDALE HWY
BEAVERTON, OR 97005
Counselor (Addiction (Substance Use Disorder))
9670 SW BEAVERTON HILLSDALE HWY
BEAVERTON, OR 97005
Counselor (Professional)
9670 SW BEAVERTON HILLSDALE HWY
BEAVERTON, OR 97005

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 Camille Vidrine's NPI number?

The NPI number for Camille Vidrine is 1811620883. It was assigned to this individual provider in the NPPES registry on July 6, 2022.

Where is Camille Vidrine located?

Camille Vidrine practices at 9670 SW Beaverton Hillsdale Hwy, Beaverton, OR 97005. The listed phone number is (971) 229-4009.

What is Camille Vidrine's specialty?

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

Is Camille Vidrine enrolled in Medicare?

Yes. Camille Vidrine is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Camille Vidrine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Camille Vidrine reassigns Medicare benefits to Brightspire Health, LLC (Beaverton, 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 Camille Vidrine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Camille Vidrine accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Camille Vidrine 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 Camille Vidrine was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.