Elijawan Addison
Individual provider Active NPI Mental Health Counselor · Saint Helens, OR
NPI 1235670936 · NPPES record last updated Mar 14, 2017
Key facts
- NPI
- 1235670936
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 58147 Columbia River Hwy
Suite C
Saint Helens, OR 97051-6226 - Phone
- (503) 396-5322
- Fax
- (503) 410-5678
- NPI assigned
- Mar 14, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medicine Wheel Recovery Services, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
58147 Columbia River Hwy
Suite C
Saint Helens, OR 97051-6226
Mailing address
58147 Columbia River Hwy
Suite C
Saint Helens, OR 97051-6226
Phone (503) 396-5322
Other providers in Saint Helens, OR
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- Rebecca Lea Aiger
- Danilyn Renee Allen
- Sarah Allen
- Shana Allen
- Destiney Heidi Ames
All providers in Saint Helens, OR · Mental Health Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.