DILLON ROBERTSON MA, RA
NPI 1891459053
Counselor - Mental Health in Tigard, OR
About Dillon Robertson Ma, Ra NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DILLON ROBERTSON MA, RA (NPI 1891459053) is an individual mental health provider in Tigard, Oregon, licensed in Oregon (C10120) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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)
Dillon Robertson Ma, Ra is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Dillon Robertson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mountlake Terrace, WA 98043
- Reassigned Medicare billing, Oregon enrollment
- 234 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Dillon Robertson's NPI number?
The NPI number for Dillon Robertson is 1891459053. It was assigned to this individual provider in the NPPES registry on October 25, 2021.
Where is Dillon Robertson located?
Dillon Robertson practices at 7340 SW Hunziker Rd Ste 102, Tigard, OR 97223. The listed phone number is (971) 533-3329.
What is Dillon Robertson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Dillon Robertson enrolled in Medicare?
Yes. Dillon Robertson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Dillon Robertson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dillon Robertson reassigns Medicare benefits to Mindful Therapy Group PC (Mountlake Terrace, WA). 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 Dillon Robertson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dillon Robertson accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Dillon Robertson 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 Dillon Robertson was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dillon Robertson, MA, RA · NPI 1891459053
Mental Health provider in Tigard, Oregon. Individual provider, active in the CMS NPPES registry since October 25, 2021.
## Identity
- **NPI:** 1891459053 (Entity type: Individual)
- **Enumerated:** October 25, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** C10120 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7340 SW HUNZIKER RD STE 102, Tigard, OR 97223-2303
- **Phone:** (971) 533-3329
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mindful Therapy Group PC (NPI 1316238678, Mountlake Terrace, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1891459053) · Data from the CMS NPPES public registry.