HANSA GUTIERREZ – Marriage & Family Therapist, NPI 1023462397

HANSA GUTIERREZ is a healthcare provider. based in Portland, Oregon. specializing in MARRIAGE AND FAMILY THERAPIST. The NPI Number for HANSA GUTIERREZ is 1023462397

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
HANSA GUTIERREZ
NPI
1023462397
Phone
(503) 258-4545
Address
11035 NE SANDY BLVD
Enumeration Date
22 April 2016
Last Update Date
22 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5033905637
Graduation Year
2016 (10 years ago)
PAC ID
2163961095
Group Practice PAC ID
1658674197
Professional Enrollment ID
I20240823000820
Address ID
OR973010200SA2645XNEXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:10State licenses:0Digital endpointsOther names

179 MARRIAGE AND FAMILY THERAPIST in OR

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Provider Addresses for HANSA GUTIERREZ

  • 11035, Northeast Sandy Boulevard, Parkrose, Portland, Metro, Multnomah County, Oregon, 97220, United States

    PORTLAND, OR 972202553

    Phone: (503) 258-4545

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240823000820IMarriage And Family TherapistORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97220)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658674197View full group profile
NameSpecialtyState
Mental Health CounselorOR
Marriage And Family TherapistOR
Nurse PractitionerOR
Marriage And Family TherapistOR
Mental Health CounselorOR
Mental Health CounselorOR
-OR
Clinical Social WorkerOR
Mental Health CounselorOR
-OR

Reviews

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Frequently asked questions

Can I use this page to confirm HANSA GUTIERREZ's NPI?
Yes. HANSA GUTIERREZ is listed with NPI 1023462397 in the public NPI dataset.
Is HANSA GUTIERREZ still practicing?
HANSA GUTIERREZ is currently listed as active in the public NPI registry.
What is HANSA GUTIERREZ's specialty?
The listing groups HANSA GUTIERREZ with Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect HANSA GUTIERREZ on a map?
Expect Portland, Oregon as a primary anchor for HANSA GUTIERREZ unless the record lists multiple sites.
Why does HANSA GUTIERREZ have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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