Tiffany Kettermann, LLC
NPI 1003461740ActiveOrganization· Counselor, Mental Health· Portland, OR
Counselor, Mental Health in Portland, Oregon, registered in NPPES in August 2019. The authorized official on file is Tiffany Kettermann, LPC, LMHC, CADCI, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003461740 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 8, 2019 |
| Last updated in NPPES | Feb 25, 2025 |
| Certified by provider | Feb 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
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