PHILIP C REISBERG
NPI 1831593649
Counselor - Professional in Portland, OR

Q: What is Philip Reisberg's NPI number?

The NPI number for Philip Reisberg is 1831593649. It was assigned to this individual provider in the NPPES registry on October 22, 2014. The provider is also known as Mentored Learning.

Q: What is Philip Reisberg's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Philip Reisberg was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since October 22, 2014PECOS Enrolled

12 SE 14TH AVE., SUITE 206, PORTLAND, OR 97214(503) 267-8040 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Philip C Reisberg NPPES

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

PHILIP C REISBERG (NPI 1831593649) is an individual professional provider in Portland, Oregon, licensed in Oregon (C3561) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831593649

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NamePHILIP C REISBERG

Location Address12 SE 14TH AVE., SUITE 206Portland, OR 97214

Mailing Address12 Se 14th Ave., Suite 206Portland, OR 97214 · (503) 267-8040

Phone(503) 267-8040

Sole ProprietorYes

Enumeration DateOctober 22, 2014

Last NPPES UpdateNovember 13, 2024

NPPES CertifiedNovember 13, 2024

✔ NPI 1831593649 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 · C3561

12 SE 14TH AVE., Portland, OR 97214

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Other Names 1

Professional Name (2)Mentored Learning

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Philip C Reisberg is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Philip Reisberg's NPI number?

The NPI number for Philip Reisberg is 1831593649. It was assigned to this individual provider in the NPPES registry on October 22, 2014. The provider is also known as Mentored Learning.

Where is Philip Reisberg located?

Philip Reisberg practices at 12 SE 14th Ave. Suite 206, Portland, OR 97214. The listed phone number is (503) 267-8040.

What is Philip Reisberg's specialty?

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

Is Philip Reisberg enrolled in Medicare?

Yes. Philip Reisberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Philip Reisberg was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.