How to get credentialed, from your NPI to the CAQH profile
10 questions from the lesson, checked as you go.
Check what you learned
10 questions from this lesson. Answers are checked as you go; nothing is recorded.
1 / 10
What is the first step in the credentialing sequence for Oregon clinicians?
Hint
The lesson lists the order of steps at the beginning.
The lesson states the order begins with getting your NPI and choosing a taxonomy code.
2 / 10
Which type of NPI is held by an individual clinician who is not an organization?
Hint
The NPI fact sheet describes two types.
Type 1 is for individuals, including sole proprietors, and a person can hold only one.
3 / 10
What must a clinician do every 120 days in the CAQH Provider Data Portal?
Hint
The DataSpring FAQ mentions a recurring requirement.
Providers must re‑attest every 120 days (180 for Illinois providers) regardless of changes.
4 / 10
Which document is NOT listed as a required attachment for the Oregon Practitioner Credentialing Application?
Hint
The form’s required attachments are enumerated in the lesson.
A CV is optional and a personal resume is not listed among the required attachments.
5 / 10
If a payer provides you with the 2024 OPCA after September 14, 2026, what should you do?
Hint
The rule about version adoption is explained in the lesson.
The lesson advises to ask the credentialing contact which document they want before filling anything in.
6 / 10
Which taxonomy code does CMS’s Medicare FAQ name as the Mental Health Counselor code for Medicare?
Hint
The lesson references the Medicare FAQ for LPCs.
CMS’s Medicare FAQ names 101YM0800X as the Mental Health Counselor code for Medicare.
7 / 10
What is the consequence of a lapsed CAQH attestation according to the lesson?
Hint
The lesson mentions a common reason for payer delays.
A lapsed attestation is a common reason a payer cannot finish a file.
8 / 10
Which organization verifies Oregon counselors and MFT licenses?
Hint
The lesson describes where payers look for primary license verification.
Payers verify Oregon counselors and MFTs through the Board of Licensed Professional Counselors and Therapists.
9 / 10
What is required to enroll as a Medicare provider for LPCs and LMFTs through PECOS?
Hint
The lesson outlines the specific field to complete on the Medicare enrollment form.
On paper, the FAQ says to pick "Undefined Non‑Physician Practitioner Specialty" in section 2H and write in MFT or MHC.
10 / 10
Which of the following payers explicitly requires the OPCA for new credentialing according to the lesson?
Hint
The lesson lists several payers and their statements about the OPCA.
Samaritan Health Plans names the OPCA and links OHA’s 2025 PDFs.
Worth another look