COLLEEN M DONALDSON BC-DMT, LPC-INTERN
NPI 1821587866
Counselor in Portland, OR

Q: What is Colleen Donaldson's NPI number?

The NPI number for Colleen Donaldson is 1821587866. It was assigned to this individual provider in the NPPES registry on May 4, 2018.

Q: What is Colleen Donaldson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: Is Colleen Donaldson enrolled in Medicare?

No. Colleen Donaldson has opted out of Medicare through November 13, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Colleen Donaldson was last updated on May 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since May 04, 2018Opted out of Medicare · through Nov 13, 2026

14600 NW CORNELL RD, PORTLAND, OR 97229(503) 645-3581 Get Directions Write a Review

NPPES record last updated: May 4, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Colleen M Donaldson Bc-dmt, Lpc-intern NPPES

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

COLLEEN M DONALDSON BC-DMT, LPC-INTERN (NPI 1821587866) is an individual counselor in Portland, Oregon, licensed in Oregon (R3643) and active in the NPI registry since May 2018. She has opted out of Medicare through November 13, 2026.

NPPES Registry Identity

NPI1821587866

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameCOLLEEN M DONALDSONCredential: BC-DMT, LPC-INTERN

Location Address14600 NW CORNELL RDPortland, OR 97229-5442

Mailing Address2509 Ne Flanders St Apt 105Portland, OR 97232-3190 · (517) 881-1890

Phone(503) 645-3581

Sole ProprietorNo

Enumeration DateMay 4, 2018

✔ NPI 1821587866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in OR · R3643

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

14600 NW CORNELL RD, Portland, OR 97229

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Colleen M Donaldson Bc-dmt, Lpc-intern has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 13, 2024 through November 13, 2026.

Opt-Out Effective DateNovember 13, 2024

Opt-Out In Effect ThroughNovember 13, 2026Opt-out affidavits renew automatically every two years unless cancelled

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.

MS. LUCRECIA FARIAS

Counselor (Mental Health)