Guillaume Counseling – Marriage & Family Therapist, NPI 1417420001
Marriage & Family Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Guillaume Counseling
3151 NE Sandy Blvd Ste 240
Portland, OR 972322500
Phone: (503) 922-3360
Fax: (971) 352-4229
Type: Location
Southwest Canyon Road, Beaverton, Metro, Washington County, Oregon, 97225-3010, United States
BEAVERTON, OR 970051938
Phone: (503) 922-3360
Fax: (800) 887-0316
Type: Location
5901 S MacAdam Ave Ste 100
Portland, OR 972393620
Phone: (503) 922-3360
Fax: (971) 352-4229
Type: Location
1110 SE Alder St Ste 301
Portland, OR 972142400
Phone: (503) 922-3360
Fax: (971) 352-4229
Type: Location
20333 State Highway 249 Ste 200
Houston, TX 770702613
Phone: (503) 922-3360
Fax: (971) 352-4229
Type: Location
8885 SW CANYON RD STE 118
PORTLAND, OR 972253456
Phone: (503) 922-3360
Fax: (971) 352-4229
Type: Location
20333 STATE HIGHWAY 249 STE 200
HOUSTON, TX 770702613
Phone: (503) 922-3360
Fax: (971) 352-4229
Type: Mailing
8885 SW CANYON RD STE 128
PORTLAND, OR 972253447
Phone: (503) 922-3360
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: 2024-08-21
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 |
|---|---|---|---|---|
| O20240821000981 | O | Clinic/Group Practice | 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 97232)
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