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MS. NINA LANDEY LPC
NPI 1891302238
Counselor - Mental Health in Portland, OR

Active since September 29, 2020Opted out of Medicare · through Jan 1, 2028
120 SE 53RD AVE, PORTLAND, OR 97215(503) 502-5340 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Nina Landey Lpc NPPES

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

MS. NINA LANDEY LPC (NPI 1891302238) is an individual mental health provider in Portland, Oregon, licensed in Oregon (C5824) and active in the NPI registry since September 2020. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1891302238
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. NINA LANDEYCredential: LPC
Location Address120 SE 53RD AVEPortland, OR 97215-1204
Mailing Address5010 Se Foster Rd # 86455Portland, OR 97206-3039 · (503) 502-5340
Phone(503) 502-5340
Sole ProprietorYes
Enumeration DateSeptember 29, 2020
NPPES CertifiedSeptember 26, 2020
✔ NPI 1891302238 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 · C5824
120 SE 53RD AVE, Portland, OR 97215
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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

Ms. Nina Landey Lpc 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Nina Landey's NPI number?

The NPI number for Nina Landey is 1891302238. It was assigned to this individual provider in the NPPES registry on September 29, 2020.

Where is Nina Landey located?

Nina Landey practices at 120 SE 53rd Ave, Portland, OR 97215. The listed phone number is (503) 502-5340.

What is Nina Landey's specialty?

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

Is Nina Landey enrolled in Medicare?

No. Nina Landey has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Nina Landey was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.