Active NPI
Elaine J. Davis, LMFT, LPC
- Marriage & Family Therapist
- Hillsboro, OR
National Provider Identifier
1144428434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- TO755
- Practice address
- 3000 NW Stucki PL Ste 230
Hillsboro, OR 97124-7328 - Phone
- (503) 402-8654
- Fax
- (503) 645-0822
- NPI assigned
- Jul 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C2536 | OR | |
| Marriage & Family Therapist | 106H00000X | TO755 | OR | Primary |
Addresses
Primary practice location
3000 NW Stucki PL Ste 230
Hillsboro, OR 97124-7328
Mailing address
3000 NW Stucki PL Ste 230
Hillsboro, OR 97124-7328
Phone (503) 402-8654
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2536 | OR | MD | Professional Counselor |
| TO755 | OR | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300838400000",
"number": "1144428434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 NW STUCKI PL STE 230",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971247328",
"telephone_number": "503-402-8654",
"fax_number": "503-645-0822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 NW STUCKI PL STE 230",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971247328",
"telephone_number": "503-402-8654",
"fax_number": "503-645-0822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ELAINE",
"middle_name": "J.",
"credential": "LMFT, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-07",
"last_updated": "2011-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C2536",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "TO755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.