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LUMIN EGRESS
NPI 1972014140
Counselor - Mental Health in Portland, OR

Active since October 16, 2017PECOS EnrolledAccepts Medicare Assignment
17720 NE HALSEY ST STE B, PORTLAND, OR 97230(503) 654-7654(503) 654-7333 Get Directions Write a Review

NPPES record last updated: October 16, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lumin Egress NPPES

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

LUMIN EGRESS (NPI 1972014140) is an individual mental health provider in Portland, Oregon and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1972014140
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameLUMIN EGRESS
Location Address17720 NE HALSEY ST STE BPortland, OR 97230-6771
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167
Phone(503) 654-7654
Fax(503) 654-7333
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 16, 2017
✔ NPI 1972014140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
17720 NE HALSEY ST STE B, Portland, OR 97230
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lumin Egress is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991286379
PECOS Enrollment IDI20260224002310
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.

Other Providers at the Same Location NPPES 20

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

JOSHUA P LAUZUS
Counselor (Mental Health)
17720 NE HALSEY ST STE B
PORTLAND, OR 97230
Multnomah County (503) 512-8914
TARAH GRIFFITH
Counselor (Mental Health)
17720 NE HALSEY ST STE B
PORTLAND, OR 97230
Multnomah County (503) 654-7654
PAULA MINTUN QMHA PSS CRM
Counselor (Mental Health)
17720 NE HALSEY ST STE B
PORTLAND, OR 97230
Multnomah County (503) 654-7654
JAMIE D JONES
Counselor (Mental Health)
17720 NE HALSEY ST STE B
PORTLAND, OR 97230
Multnomah County (503) 654-7654
CHARLOTTE L WEAVER
Counselor (Mental Health)
17720 NE HALSEY ST STE B
PORTLAND, OR 97230
Multnomah County (503) 654-7654
AUSTIN RADFORD
Counselor (Mental Health)
17720 NE HALSEY ST STE B
PORTLAND, OR 97230
Multnomah County (503) 654-7654
LORI JOHNSON
Counselor (Mental Health)
17720 NE HALSEY ST STE B
PORTLAND, OR 97230
Multnomah County (503) 654-7654
AARON HAND
Counselor (Mental Health)
17720 NE HALSEY ST STE B
PORTLAND, OR 97230
Multnomah County (503) 654-7654

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 Lumin Egress's NPI number?

The NPI number for Lumin Egress is 1972014140. It was assigned to this individual provider in the NPPES registry on October 16, 2017.

Where is Lumin Egress located?

Lumin Egress practices at 17720 NE Halsey St Ste B, Portland, OR 97230. The listed phone number is (503) 654-7654.

What is Lumin Egress's specialty?

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

Is Lumin Egress enrolled in Medicare?

Yes. Lumin Egress is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lumin Egress accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Lumin Egress 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 Lumin Egress was last updated on October 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.