Individual provider Active NPI

Alyssa Pataki, LMFT

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1144833674
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
T2680 Issued in OR
Practice address
5441 S Macadam Ave Ste R
Portland, OR 97239-3822
Phone
(909) 367-5928
NPI assigned
Aug 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFT.LF.61633845 WA
Mental Health Counselor 101YM0800X T2680 OR Primary

Addresses

Primary practice location

5441 S Macadam Ave Ste R
Portland, OR 97239-3822

Mailing address

5441 S Macadam Ave Ste R
Portland, OR 97239-3822

Other practice location 1

1235 SE Division St Ste 104
Portland, OR 97202-1055
Phone (360) 726-4141

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

LicenseStateTypeSpecialty
T2680ORMDMental Health Counselor
MFT.LF.61633845WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Body Expressions, LLC Mental Health CurrentSince Jun 15, 2025 Accepting new patients
Beyond Eating Recovery, LLC Mental Health CurrentSince Sep 3, 2025 Accepting new patients

Locations

1235 SE Division St
Ste 104
Portland, OR 97202
Phone (360) 726-4141

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1144833674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 S MACADAM AVE STE R",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5441 S MACADAM AVE STE R",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393822",
            "telephone_number": "909-367-5928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 SE Division St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972021055",
            "country_code": "US",
            "telephone_number": "360-726-4141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATAKI",
        "first_name": "ALYSSA",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MFT.LF.61633845",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "T2680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; 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.