KRISTIN L TEBOW (M.S.) – Mental Health Counselor, NPI 1275806887
Mental Health Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,181 MENTAL HEALTH COUNSELOR in OR
Provider Addresses for KRISTIN L TEBOW (M.S.)
2303 NE 12TH AVE APT 3
PORTLAND, OR 972124138
Phone: (503) 850-8463
Type: Mailing
617 OAK ST
BRAINERD, MN 564013610
Phone: (218) 829-7140
Fax: (218) 829-7124
Type: Mailing
110 14TH AVE E
SARTELL, MN 563774644
Phone: (320) 202-1400
Fax: (320) 202-8662
Type: Location
500 NE MULTNOMAH ST STE 100
PORTLAND, OR 972322031
Phone: (800) 813-2000
Fax: (855) 524-5255
Type: Mailing
14406 NE 20TH AVE
VANCOUVER, WA 986861448
Phone: (800) 813-2000
Type: Location
2303 NE 12th Ave Apt 3
Portland, OR 972124138
Phone: (503) 850-8463
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2025-12-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20251222000897 | I | Mental Health Counselor | OR | TBD |
| I20251223003272 | I | Mental Health Counselor | WA | 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 97212)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.