Active NPI
Kayla Susanne Elsahili, LCSW
- Clinical Social Worker
- Tigard, OR
National Provider Identifier
1275071599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L8035
- Practice address
- 7100 SW Hampton St Ste 300
Tigard, OR 97223-8315 - Phone
- (503) 342-2510
- NPI assigned
- Feb 7, 2017
- Last updated
- Mar 16, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | A4646 | OR | |
| Clinical Social Worker | 1041C0700X | L8035 | OR | Primary |
Addresses
Primary practice location
7100 SW Hampton St Ste 300
Tigard, OR 97223-8315
Mailing address
7100 SW Hampton St Ste 300
Tigard, OR 97223-8315
Phone (503) 342-2510
Other practice location 1
6443 SW Beaverton Hillsdale Hwy Suite 300
Portland, OR 97221
Phone (503) 452-8002
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 |
|---|---|---|---|
| A4646 | OR | MD | Clinical Social Worker |
| L8035 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senua Counseling Clinic, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Senua Counseling Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lake Oswego, OR
- NPI 1902324122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1275071599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 SW HAMPTON ST STE 300",
"city": "TIGARD",
"state": "OR",
"postal_code": "972238315",
"telephone_number": "503-342-2510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 SW HAMPTON ST STE 300",
"city": "TIGARD",
"state": "OR",
"postal_code": "972238315",
"telephone_number": "503-342-2510"
}
],
"practiceLocations": [
{
"address_1": "6443 SW Beaverton Hillsdale Hwy Suite 300",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "97221",
"country_code": "US",
"telephone_number": "503-452-8002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELSAHILI",
"first_name": "KAYLA",
"middle_name": "SUSANNE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-07",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "A4646",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L8035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.