Ms Amy Isler Gibson, LPC in Tigard, OR - Medicare Counselor Provider

Ms Amy Isler Gibson, LPC is a medicare enrolled "Counselor - Mental Health" provider in Tigard, Oregon. Her current practice location is 11740 Sw 68th Pkwy Ste 200, Tigard, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 729-0551.

Ms Amy Isler Gibson is licensed to practice in Oregon (license number C7138) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1386935286.

Contact Information

	Ms Amy Isler Gibson, LPC
	11740 Sw 68th Pkwy Ste 200, Tigard, OR 97223-9058
	(541) 729-0551
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Amy Isler Gibson
Gender	Female
Speciality	Counselor - Mental Health
Location	11740 Sw 68th Pkwy Ste 200, Tigard, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386935286
Provider Enumeration Date: 04/26/2011
Last Update Date: 04/09/2025

Medicare PECOS Information:

PECOS PAC ID: 0143747972
Enrollment ID: I20250506001509

Medical Identifiers

Medical identifiers for Ms Amy Isler Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386935286	NPI	-	NPPES
36702	Other	OR	OREGON STATE LICENSURE (LICENSED PROFESSIONAL COUNSELOR)

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	C7138 (Oregon)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Amy Isler Gibson allows following entities to bill medicare on her behalf.

Entity Name	Mindful Therapy Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20210301001586

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Amy Isler Gibson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Amy Isler Gibson, LPC 5441 S Macadam Ave Ste A, Portland, OR 97239-6106 Ph: () -	Ms Amy Isler Gibson, LPC 11740 Sw 68th Pkwy Ste 200, Tigard, OR 97223-9058 Ph: (541) 729-0551

Reviews and Comments

Counselor in Tigard, OR

Matthew Harhai, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8915 Sw Center St, Tigard, OR 97223 Phone: 503-726-3740
Brianna Uilani Kaalakea, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8915 Sw Center St, Tigard, OR 97223 Phone: 503-726-3690
Miss Sheila Miranda, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8915 Sw Center St, Tigard, OR 97223 Phone: 503-726-3690
John Patrick Cate, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8915 Sw Center St, Tigard, OR 97223 Phone: 503-726-3690
Julia Adams-opperman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8915 Sw Center St, Tigard, OR 97223 Phone: 503-726-3690
Arya Roerig, CADC 1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 12540 Sw Main St Ste 202, Tigard, OR 97223 Phone: 503-906-9995
Corbin Gronvold, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8915 Sw Center St, Tigard, OR 97223 Phone: 503-726-3740

Ms Amy Isler Gibson, LPC - Medicare Counselor in Tigard, OR