TIMOTHY L KOBERLEIN LCSW
NPI 1235551011
Social Worker - Clinical in Ontario, OR
NPI Status: Active since January 13, 2014
Contact Information
702 SUNSET DR
ONTARIO, OR
ZIP 97914
Phone: (541) 889-9167
Fax: (541) 889-7873
- Individual
- Male
- Years of Experience 16
- Social Worker
- Clinical
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About TIMOTHY KOBERLEIN
This page provides the complete NPI Profile along with additional information for Timothy Koberlein, a provider established in Ontario, Oregon with a medical specialization in Social Worker, focusing in clinical and more than 16 years of experience. The healthcare provider is registered in the NPI registry with number 1235551011 assigned on January 2014. The practitioner's primary taxonomy code is 1041C0700X with license number L6076 (OR). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1235551011
- Provider Name
- TIMOTHY L KOBERLEIN LCSW
- Other Name
- TIM L KOBERLEIN LCSW
- Other Name Type
- Professional Name (2)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 702 SUNSET DR ONTARIO, OR 97914
- Location Phone
- (541) 889-9167
- Location Fax
- (541) 889-7873
- Mailing Address
- 702 SUNSET DR ONTARIO, OR 97914
- Mailing Phone
- (541) 889-9167
- Mailing Fax
- (541) 889-7873
- Medical School Name
- OTHER
- Graduation Year
- 2010
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-13-2014
- Last Update Date
- 05-14-2019
- Code Navigator
A clinical social worker like Timothy Koberlein is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- L6076
- License State
- OR
- Taxonomy Description
- A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | LCSW-33359 (ID) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Connect Bronze Expanded Standard - PPO
- Connect Bronze HDHP - PPO
- Connect Catastrophic - PPO
- Connect Gold - PPO
- Connect Gold Standard - PPO
- Connect Silver - PPO
- Connect Silver Standard - PPO
- High Plains Bronze HDHP - PPO
- High Plains Bronze Standard Expanded - PPO
- High Plains Gold - PPO
- High Plains Gold HDHP - PPO
- High Plains Gold Standard - PPO
- High Plains Silver - PPO
- High Plains Silver Standard - PPO
- Plus Bronze Expanded - PPO
- Plus Bronze Standard Expanded - PPO
- Plus Gold - PPO
- Plus Gold Standard - PPO
- Plus Silver Standard - PPO
- ACCESS BRONZE - PPO
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Navigator Standard Expanded Bronze - PPO
- Navigator Standard Gold - PPO
- Navigator Standard Silver - PPO
- PacificSource Oregon Standard Bronze Plan NAV - PPO
- PacificSource Oregon Standard Gold Plan NAV - PPO
- PacificSource Oregon Standard Silver Plan NAV - PPO
- HSA Qualified 7100 Bronze - Signature Network - EPO
- HSA Qualified 7100 Bronze - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
- Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
- Bronze HSA 7000 Individual and Family Network - EPO
- Gold 2300 Individual and Family Network - EPO
- Regence Standard Bronze Plan Individual and Family Network - EPO
- Regence Standard Gold Plan Individual and Family Network - EPO
- Regence Standard Silver Plan Individual and Family Network - EPO
- Silver 6200 Individual and Family Network - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Timothy Koberlein is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Timothy Koberlein is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9436389152
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20140225001724, I20141014002011
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $0 for a new patient copayment and $17.16 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 97914 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is NA
- Average New Patient Price $0
- Minimum New Patient Price $54.96
- Maximum New Patient Price $166.64
- Average New Patient Copayment $0
- Minimum New Patient Copayment $13.74
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.64
- Minimum Established Patient Price $17.68
- Maximum Established Patient Price $136.19
- Average Established Patient Copayment $17.16
- Minimum Established Patient Copayment $4.42
- Maximum Established Patient Copayment $34.04
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for TIMOTHY L KOBERLEIN LCSW
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 3 | 5 | 5 | 5 | 1 | 0 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 10 | 5 | 2 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 1 + 0 + 5 + 2 + 0 + 2 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1235551011 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1821056391 | JUDITH POIROT LCSW Individual | Social Worker (Clinical) | 702 SUNSET DR ONTARIO, OR 97914 (541) 889-9167 |
| 1275541989 | J. HARRISON WHITCOMB LCSW Individual | Social Worker (Clinical) | 702 SUNSET DR ONTARIO, OR 97914 (541) 889-9167 |
| 1053400333 | DOREEN OBERG M.ED Individual | Counselor | 702 SUNSET DR ONTARIO, OR 97914 (541) 889-9167 |
| 1063501385 | BRITT HUMPHREY MS, LPC Individual | Counselor | 702 SUNSET DR ONTARIO, OR 97914 (541) 889-9167 |
| 1003905258 | JULIE NOETHE Individual | Counselor | 702 SUNSET DR ONTARIO, OR 97914 (541) 823-9006 |
| 1528157823 | ALICE H MILLS BS Individual | Counselor | 702 SUNSET DR ONTARIO, OR 97914 (541) 889-9167 |
| 1073696654 | RON MOORE CADC Individual | Counselor (Addiction (Substance Use Disorder)) | 702 SUNSET DR ONTARIO, OR 97914 (541) 889-9167 |
| 1437238136 | MELISSA JACOBS CADC Individual | Counselor (Addiction (Substance Use Disorder)) | 702 SUNSET DR ONTARIO, OR 97914 (541) 889-9167 |
| 1447339155 | KEVIN T HILL CADC Individual | Counselor (Addiction (Substance Use Disorder)) | 702 SUNSET DR ONTARIO, OR 97914 (541) 889-9167 |
| 1881755718 | SI ROBIN STEINBERG M.D. Individual | Psychiatry & Neurology (Psychiatry) | 702 SUNSET DR ONTARIO, OR 97914 (541) 889-9167 |
| 1306998620 | SANDRA I SHELTON QMHP Individual | Counselor (Mental Health) | 702 SUNSET DR ONTARIO, OR 97914 (541) 889-9167 |
| 1760513048 | RAYMOND MECKLING MILLAR MSW Individual | Counselor (Mental Health) | 702 SUNSET DR ONTARIO, OR 97914 (541) 889-9167 |
| 1962533026 | MAUREEN IRELAND QMHA Individual | Counselor (Addiction (Substance Use Disorder)) | 702 SUNSET DR ONTARIO, OR 97914 (541) 889-9167 |
| 1073644464 | ROGELIO LARA ADES, CADCII Individual | Counselor (Addiction (Substance Use Disorder)) | 702 SUNSET DR ONTARIO, OR 97914 (541) 889-9167 |
| 1730210790 | LAURIE J SMITH MHA Individual | Counselor | 702 SUNSET DR ONTARIO, OR 97914 (541) 889-9167 |
| 1497886659 | FRANK DUGGER MHA Individual | Counselor | 702 SUNSET DR ONTARIO, OR 97914 (541) 889-9167 |
| 1467583740 | MICHAEL D SINGLETON Individual | Counselor (Mental Health) | 702 SUNSET DR ONTARIO, OR 97914 (541) 889-9767 |
| 1437280716 | DENISE K FEIST QMHA Individual | Counselor | 702 SUNSET DR ONTARIO, OR 97914 (541) 889-9167 |
| 1942333265 | JUDI TRASK CADC Individual | Counselor (Addiction (Substance Use Disorder)) | 702 SUNSET DR ONTARIO, OR 97914 (541) 889-9167 |
| 1972636173 | SANDRA LEE HARLEY MHA Individual | Counselor | 702 SUNSET DR ONTARIO, OR 97914 (541) 889-9167 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235551011, enumerated in the NPI registry as an "individual" on January 13, 2014
The provider is located at 702 Sunset Dr Ontario, Or 97914 and the phone number is (541) 889-9167
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider has more than 16 years of experience.
The provider might be accepting Accepts: BridgeSpan Health Company, Mountain Health CO-OP,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
Medicare beneficiaries should expect a typical cost of $0 with an average copayment of $0 for new patient appointments. Established patients should expect a typical charge of $68.64 and an average copayment of 17.16. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on January 13, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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