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Timothy W Hamm

Counselor - Professional β€’ Clackamas, OR

Active NPI 1972817229 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

12360 Se Sunnyside Rd
Clackamas, OR 970159320

Call 5033034000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12360 Se Sunnyside Rd

Clackamas, OR 970159320

Telephone 5033034000
Organization at the Same NPPES Address or Phone
Cascadia Health Facility NPI 1184241721

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Cascadia Health. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2011

Years since graduation

15 years (graduated 2011)

CMS Doctors and Clinicians data list 2011 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Timothy Hamm has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Timothy Hamm as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Clackamas and Oregon

16 active clinicians are listed under Counselor - Professional with a practice address in Clackamas, OR (2,559 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Clackamas

0% of these 16 clinicians have the CMS telehealth indicator.

6.2% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-25
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OR C6213
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20240930001075

Enrollment State Jurisdiction

OR

PECOS Control ID

8921539164

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Cascadia Health

847 Ne 19th Ave, Portland, OR 972322684

Phone: 5022380769

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Dr. Phillip Bergreen , DNP, PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1881272144

Doctor of Nursing Practice, Psychiatric-Mental Health Nurse Practitioner

William Dudley , NP-C

Nurse Practitioner - Psychiatric/Mental Health

NPI 1235502238

Nurse Practitioner (Certified)

Travis Tiede , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1962269332

Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 25, 2025

Registered at 12360 SE SUNNYSIDE RD, CLACKAMAS, OR 970159320 (Tel: 5033034000)

πŸ“
Updated Practice Location November 17, 2021

Registered at 17070 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 972674960 (Tel: 5033034000)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2021

Counselor

βœ…
NPI Profile Active August 06, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 06, 2015

Registered at 847 NE 19TH AVE, SUITE 100, PORTLAND, OR 972322684 (Tel: 5032380769)

πŸ“
Business Mailing Address (Initial Record) August 06, 2015

Registered at PO BOX 8459, PORTLAND, OR 972078459 (Tel: 5032380769)

πŸ‘€
Provider Name / Credentials (Initial Record) August 06, 2015

Recorded as TIMOTHY HAMM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2015

Counselor

🟒
Initial NPI Registration & Enumeration July 28, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1972817229
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2010
Last Update: August 25, 2025
Sole Proprietor: No

Mailing Address

Po Box 8459

Portland, OR 972078459

Phone: 5032380769

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.