Ellie Rose Antico, BA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4950 NE Belknap CT Ste 205
Hillsboro, OR 97124-5115

Phone

(503) 560-5822

Fax

(888) 503-2864

NPI assigned

Jun 20, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Aug 28, 2025 through Aug 28, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

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.

• Firefly Institute

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hillsboro, OR
  • NPI 1326482563
  NPD (past)

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386164572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 SE NAEF RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972674037",
            "telephone_number": "415-816-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 NE BELKNAP CT STE 205",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245115",
            "telephone_number": "503-560-5822",
            "fax_number": "888-503-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTICO",
        "first_name": "ELLIE",
        "middle_name": "ROSE",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David E Anselma
• Nellyda M Anslow, AGPCNP
• Ashley Anstett
• Anthony C Nguyen MD
• James Dale Anthony, PHARMD
• Valentina Michelle Antonova, MD
• Isabella Andreina Anuel Colimodio, OTR/L
• Miranda Jean Anzaldi
• Mailin L Aparicio, CRM
• Richard K Apau, MD

• Mental Health Counselor in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.