PHILIP C REISBERG
NPI 1831593649
Counselor - Professional in Portland, OR
- Individual
- Male
- Counselor
- Professional
- PECOS Enrolled
About PHILIP REISBERG
This page provides the complete NPI Profile along with additional information for Philip Reisberg, a provider established in Portland, Oregon with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1831593649 assigned on October 2014. The practitioner's primary taxonomy code is 101YP2500X with license number C3561 (OR). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1831593649 Verify this NPI
- Provider Name
- PHILIP C REISBERG
- Other Name
- MENTORED LEARNING
- Other Name Type
- Professional Name (2)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 12 SE 14TH AVE. SUITE 206 PORTLAND, OR 97214
- Location Phone
- (503) 267-8040
- Mailing Address
- 12 SE 14TH AVE. SUITE 206 PORTLAND, OR 97214
- Mailing Phone
- (503) 267-8040
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-22-2014
- Last Update Date
- 11-13-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- C3561
- License State
- OR
Medicare Participation & PECOS Enrollment Status
Philip Reisberg is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for PHILIP C REISBERG
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831593649, enumerated as an "individual" on October 22, 2014.
The provider is located at 12 SE 14TH AVE. SUITE 206 PORTLAND, OR 97214 and the phone number is (503) 267-8040.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
