Elizabeth Christiane Gentzkow, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C4394 Issued in OR

Practice address

4949 S Macadam Ave
Portland, OR 97239-3912

Phone

(971) 248-2651

NPI assigned

Jan 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Elizabeth Christiane Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Thrive West

  • Professional Counselor
  • Portland, OR
  • NPI 1861027252
  NPD Authorized official
• Clinicops, LLC

  • Family Medicine Physician
  • Portland, OR
  • NPI 1275821266

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1417493719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 S MACADAM AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393912",
            "telephone_number": "971-248-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 S MACADAM AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393912",
            "telephone_number": "971-248-2651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5635 N Scottsdale Rd Ste 170",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "85250",
            "country_code": "US",
            "telephone_number": "971-248-2651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1427 NW Flanders St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972092646",
            "country_code": "US",
            "telephone_number": "503-972-0235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENTZKOW",
        "first_name": "ELIZABETH",
        "middle_name": "CHRISTIANE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4394",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C4394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "JOHNSON",
            "middle_name": "CHRISTIANE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sara L Gentner
• Jerimiah Geronimo Gentry, RN
• Kara Gentry
• Solon Chase Gentry, D.C.
• Tabitha Gentry, LMT
• Genuine Home Care LLC
• Colleen Genuine, LMT
• Lydia Genz
• Kristen Ann Genzano
• Gary Lee Genzer, DMD

• Professional Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.