MS. KATHERINE ELOUISE BENTLEY (MSW, LCSW, CADC I) – Mental Health Counselor, NPI 1134267875
Mental Health Counselor
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. KATHERINE ELOUISE BENTLEY (MSW, LCSW, CADC I)
4207 SE WOODSTOCK BLVD # 164
PORTLAND, OR 972066267
Phone: (503) 758-3750
Type: Mailing
3550 N INTERSTATE AVE
PORTLAND, OR 972271196
Phone: (503) 249-3434
Type: Location
4208, Southeast Stark Street, Sunnyside, Portland, Multnomah County, Oregon, 97214, United States
PORTLAND, OR 972151644
Phone: (503) 334-9668
Type: Mailing
Southeast Sunnyside Road, Happy Valley, Clackamas County, Oregon, 97089, United States
CLACKAMAS, OR 970158970
Phone: (503) 571-2328
Fax: (503) 571-0867
Type: Location
8526 SE 64th Ave
Portland, OR 972068820
Phone: (503) 758-3750
Type: Location
2505 SE 11th Ave Ste 232
Portland, OR 972021062
Phone: (503) 758-3750
Type: Location
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: 2019-11-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191126002107 | I | Clinical Social Worker | OR | TBD |
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.
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 97206)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | TX | |
| D E R M A T O L O G Y | AZ | |
| - | OR | |
| - | CA | |
| General Surgery | CA | |
| Physician Assistant | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| - | WA |
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