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BRYAN DALE LEWELLEN MA, LICENSED LPC
NPI 1962132548
Counselor - Professional in Hillsboro, OR

Active since June 15, 2022Opted out of Medicare · through Jun 25, 2028
3000 NE STUCKI AVE STE 230, HILLSBORO, OR 97124(503) 869-8108 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bryan Dale Lewellen Ma, Licensed Lpc NPPES

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

BRYAN DALE LEWELLEN MA, LICENSED LPC (NPI 1962132548) is an individual professional provider in Hillsboro, Oregon, licensed in Oregon (C8362) and active in the NPI registry since June 2022. He has opted out of Medicare through June 25, 2028.

NPPES Registry Identity

NPI1962132548
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBRYAN DALE LEWELLENCredential: MA, LICENSED LPC
Location Address3000 NE STUCKI AVE STE 230Hillsboro, OR 97124-7328
Mailing Address715 5th StOregon City, OR 97045-2343 · (503) 839-2798
Phone(503) 869-8108
Sole ProprietorNo
Enumeration DateJune 15, 2022
Last NPPES UpdateJune 18, 2024
NPPES CertifiedJune 18, 2024
✔ NPI 1962132548 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 · C8362
3000 NE STUCKI AVE STE 230, Hillsboro, OR 97124
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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

Bryan Dale Lewellen Ma, Licensed 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 June 25, 2024 through June 25, 2028.

Opt-Out Effective DateJune 25, 2024
Opt-Out In Effect ThroughJune 25, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MINAH OH MA
Counselor (Mental Health)
3000 NE STUCKI AVE STE 230
HILLSBORO, OR 97124
Washington County (518) 269-9854
KYLEE BINKERD MA
Social Worker (Clinical)
3000 NE STUCKI AVE STE 230
HILLSBORO, OR 97124
Washington County (541) 283-0716
MS. JESSICA LYNN WOLF LPC
Counselor (Mental Health)
3000 NE STUCKI AVE STE 230
HILLSBORO, OR 97124
Washington County (503) 869-8108
ILEANA GUADALUPE RODRIGUEZ-ANZURES
Counselor (Mental Health)
3000 NE STUCKI AVE STE 230
HILLSBORO, OR 97124
Washington County (503) 869-8108
MICHAEL CRONIN LPC, CGACI, CADCI
Counselor (Mental Health)
3000 NE STUCKI AVE STE 230
HILLSBORO, OR 97124
Washington County (503) 980-1382
MICHAEL MORALES MFT
Counselor (Mental Health)
3000 NE STUCKI AVE STE 230
HILLSBORO, OR 97124
Washington County (503) 869-8108
CORE VALUES COUNSELING. LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
3000 NE STUCKI AVE STE 230
HILLSBORO, OR 97124
Washington County (503) 869-8108
ELIZABETH D GANN MA
Counselor (Mental Health)
3000 NE STUCKI AVE STE 230
HILLSBORO, OR 97124
Washington County (503) 869-8108

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 Bryan Lewellen's NPI number?

The NPI number for Bryan Lewellen is 1962132548. It was assigned to this individual provider in the NPPES registry on June 15, 2022.

Where is Bryan Lewellen located?

Bryan Lewellen practices at 3000 NE Stucki Ave Ste 230, Hillsboro, OR 97124. The listed phone number is (503) 869-8108.

What is Bryan Lewellen's specialty?

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

Is Bryan Lewellen enrolled in Medicare?

No. Bryan Lewellen has opted out of Medicare through June 25, 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 Bryan Lewellen was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.