AUDRIANA PETRA GARCILAZO – Professional Counselor, NPI 1538517081

AUDRIANA PETRA GARCILAZO is a healthcare provider. based in Heppner, Oregon. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. C5495 (OR). The NPI Number for AUDRIANA PETRA GARCILAZO is 1538517081

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
AUDRIANA PETRA GARCILAZO
NPI
1538517081
Phone
(541) 676-9161
Address
PO BOX 469
Enumeration Date
25 May 2016
Last Update Date
1 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5415750429
Graduation Year
2016 (10 years ago)
PAC ID
4587030184
Group Practice PAC ID
0446484885
Professional Enrollment ID
I20240227004022
Address ID
OR978451289JO528XXEXXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,181 MENTAL HEALTH COUNSELOR in OR

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Provider Addresses for AUDRIANA PETRA GARCILAZO

  • PO BOX 469

    HEPPNER, OR 978360469

    Phone: (541) 676-9161

    Type: Mailing

  • Main Street, Heppner, Morrow County, Oregon, 97836, United States

    HEPPNER, OR 978362033

    Phone: (541) 676-9161

    Type: Location

  • 120 S Main St

    Heppner, OR 978362033

    Phone: (541) 676-9161

    Type: Location

  • 142 EL MONTE ST

    UMATILLA, OR 978829644

    Phone: (541) 862-4570

    Fax: (360) 844-5184

    Type: Mailing

  • 256 E HURLBURT AVE STE 115

    HERMISTON, OR 978382443

    Phone: (541) 862-4570

    Fax: (360) 844-5184

    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: 2024-02-27

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
I20240227004022IMental 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 97836)

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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: 0446484885View full group profile
NameSpecialtyState
Nurse PractitionerWY
Mental Health CounselorOR
Mental Health CounselorOR
General Practice, PsychiatryNC
Nurse PractitionerWA
Mental Health CounselorOR
Nurse PractitionerOR
Clinical Social WorkerWA
Nurse PractitionerOR
Nurse PractitionerOR

Reviews

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Frequently asked questions

What identifier follows AUDRIANA PETRA GARCILAZO across health systems?
The NPI 1538517081 uniquely identifies AUDRIANA PETRA GARCILAZO in U.S. healthcare data.
Is AUDRIANA PETRA GARCILAZO currently accepting referrals based on NPI status?
Registry metadata lists AUDRIANA PETRA GARCILAZO as active.
How should patients interpret AUDRIANA PETRA GARCILAZO's specialty?
The extract shows Professional Counselor for AUDRIANA PETRA GARCILAZO. Clinical services aligned with this taxonomy classification.
What geographic area is tied to AUDRIANA PETRA GARCILAZO?
AUDRIANA PETRA GARCILAZO is associated with Heppner, Oregon in the same public data insurers reference.
Why is information missing for AUDRIANA PETRA GARCILAZO?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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