Organization Active NPI

Mitch Elovitz, LPC, LLC

Doing business as Mitchell Elovitz

  • Professional Counselor
  • Lake Oswego, OR
National Provider Identifier
1033730056
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MITCH ELOVITZ, LPC, LLC
Doing business as
Mitchell Elovitz
Practice address
15100 Boones Ferry Rd
Lake Oswego, OR 97035-3469
Phone
(503) 804-3063
Fax
(503) 635-9127
NPI assigned
Apr 30, 2020
Last updated
Apr 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mitchell Elovitz, LPCNPI 1720123417
Title
Owner
Phone
(503) 804-3063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

15100 Boones Ferry Rd
Lake Oswego, OR 97035-3469

Mailing address

7766 SE 19TH Ave
Portland, OR 97202-6209
Phone (503) 804-3063

Other names 1

  • Mitchell Elovitz Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mitchelovitz.wordpress.com Direct

National Provider Directory

National Provider Directory

Locations

15100 Boones Ferry Rd
Lake Oswego, OR 97035
Phone (503) 349-0810

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1033730056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7766 SE 19TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026209",
            "telephone_number": "503-804-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 BOONES FERRY RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353469",
            "telephone_number": "503-804-3063",
            "fax_number": "503-635-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCH ELOVITZ, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "ELOVITZ",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-804-3063",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mitchelovitz.wordpress.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15100 Boones Ferry Rd",
            "city": "Lake Oswego",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970353469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mitchell Elovitz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.