Sydnee Renee Ettelson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2086 NE Lucy Belle St
McMinnville, OR 97128-9261

Phone

(503) 208-6643

NPI assigned

Aug 3, 2016

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

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Mindful Healing NW LLC

  • Mental Health Counselor
  • McMinnville, OR
  • NPI 1619741568
  Medicare reassignment NPD Authorized official
• Guillaume Counseling Services PC

  • Marriage & Family Therapist
  • Portland, OR
  • NPI 1417420001

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1407300759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2086 NE LUCY BELLE ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971289261",
            "telephone_number": "503-208-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2086 NE LUCY BELLE ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971289261",
            "telephone_number": "503-208-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTELSON",
        "first_name": "SYDNEE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachariah J. Ervin
• Claudia Escobar, RDH
• Jeffrey Scott Espedal
• Jeremy Espeseth
• Deanna Essman
• Evan Terrace SNF Healthcare LLC
• Chase Andrew Evans-Butt
• Tabitha Evans
• Evergreen Hearing Center, Inc
• Allison J Facer, BA, BSW

• Mental Health Counselor in McMinnville, OR
• Providers in McMinnville, 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 Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.