Active NPI
Mitch Elovitz, LPC, LLC
Doing business as Mitchell Elovitz
- Professional Counselor
- Lake Oswego, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mitchell Elovitz, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | mitchelovitz.wordpress.com | Direct |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Professional Counselor
- Lake Oswego, OR
- NPI 1720123417
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.