MR. BRYAN LEDBURY – Mental Health Counselor, NPI 1124381330

MR. BRYAN LEDBURY is a healthcare provider. based in Portland, Oregon. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. LH60783716 (WA). The NPI Number for MR. BRYAN LEDBURY is 1124381330

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRYAN LEDBURY
NPI
1124381330
Phone
(503) 901-7357
Address
9830 NE CASCADES PKWY
Enumeration Date
21 June 2012
Last Update Date
13 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3605749303
Graduation Year
2012 (14 years ago)
PAC ID
6507382272
Group Practice PAC ID
7719975085
Professional Enrollment ID
I20250424003567
Address ID
WA986863270VA2103XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:13State licenses:1Digital endpointsOther names

1,181 MENTAL HEALTH COUNSELOR in OR

Provider Addresses for MR. BRYAN LEDBURY

  • 9830 NE CASCADES PKWY

    STE 200

    PORTLAND, OR 972206832

    Phone: (503) 901-7357

    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: 2025-04-24

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
I20250424003567IMental Health CounselorWATBD

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: 7719975085View full group profile

Reviews

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Frequently asked questions

Can I cross-check MR. BRYAN LEDBURY using NPI 1124381330?
NPI 1124381330 belongs to MR. BRYAN LEDBURY; compare other details if you need extra assurance.
Is MR. BRYAN LEDBURY shown as active in public data?
Registry records indicate MR. BRYAN LEDBURY maintains an active NPI.
What expertise is attributed to MR. BRYAN LEDBURY?
MR. BRYAN LEDBURY's specialty line reads Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is MR. BRYAN LEDBURY located near Portland?
MR. BRYAN LEDBURY currently maps to Portland, Oregon in this extract.
When was this NPI issued?
Enumeration for MR. BRYAN LEDBURY is noted as June 21, 2012 where the registry provides it.

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