PATRICIO JAVIER HARKNESS (LPC) – Professional Counselor, NPI 1275133753

PATRICIO JAVIER HARKNESS (LPC) is a healthcare provider. based in Portland, Oregon. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. C5873 (OR). The NPI Number for PATRICIO JAVIER HARKNESS (LPC) is 1275133753

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
PATRICIO JAVIER HARKNESS (LPC)
NPI
1275133753
Phone
(850) 570-6885
Address
1411 NE 16TH AVE APT S122
Enumeration Date
26 October 2020
Last Update Date
13 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9712294009
Graduation Year
2015 (11 years ago)
PAC ID
5991234387
Group Practice PAC ID
2163866419
Professional Enrollment ID
I20250130001184
Address ID
OR970053307BE9670XHWYX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Digital endpointsOther names

1,181 MENTAL HEALTH COUNSELOR in OR

Provider Addresses for PATRICIO JAVIER HARKNESS (LPC)

  • 1411 NE 16TH AVE APT S122

    PORTLAND, OR 972324407

    Phone: (850) 570-6885

    Type: Mailing

  • 3500 NE MLK BLVD STE 200

    PORTLAND, OR 972122093

    Phone: (503) 327-8205

    Fax: (971) 254-4882

    Type: Location

  • 709 SE 142ND AVE

    PORTLAND, OR 972332225

    Phone: (503) 887-8798

    Type: Mailing

  • 9670 SW BEAVERTON HILLSDALE HWY

    BEAVERTON, OR 970053307

    Phone: (971) 229-4009

    Fax: (866) 324-6009

    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: 2025-01-30

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
I20250130001184IMental Health CounselorORTBD

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 97232)

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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: 2163866419View full group profile
NameSpecialtyState
Mental Health CounselorOR
Mental Health CounselorOR
Mental Health CounselorOR
Mental Health CounselorOR
Mental Health CounselorOR
Mental Health CounselorOR
Mental Health CounselorOR
Clinical PsychologistOR
Mental Health CounselorOR
Clinical Social WorkerOR

Reviews

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Frequently asked questions

What is the registry number for PATRICIO JAVIER HARKNESS (LPC)?
The registry entry for PATRICIO JAVIER HARKNESS (LPC) shows NPI 1275133753.
Quick check: is PATRICIO JAVIER HARKNESS (LPC) active?
Public NPPES data shows PATRICIO JAVIER HARKNESS (LPC) with an active NPI status right now.
How should patients interpret PATRICIO JAVIER HARKNESS (LPC)'s specialty?
The extract shows Professional Counselor for PATRICIO JAVIER HARKNESS (LPC). Clinical services aligned with this taxonomy classification.
Can patients visit PATRICIO JAVIER HARKNESS (LPC) in Portland, Oregon?
For routing, start with Portland, Oregon for PATRICIO JAVIER HARKNESS (LPC), then verify phone and hours locally.
Can I export PATRICIO JAVIER HARKNESS (LPC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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