Active NPI
Elizabeth Pupillo
- Professional Counselor
- Hillsboro, OR
National Provider Identifier
1609046549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C2714
- Practice address
- 21210 NW Mauzey Rd
Hillsboro, OR 97124-9327 - Phone
- (503) 278-6542
- NPI assigned
- Mar 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C2714 | OR | Primary |
Addresses
Primary practice location
21210 NW Mauzey Rd
Hillsboro, OR 97124-9327
Mailing address
21210 NW Mauzey Rd
Hillsboro, OR 97124-9327
Phone (503) 278-6542
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 |
|---|---|---|---|
| C2714 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Psychological and Counseling Services 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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367193600000",
"number": "1609046549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21210 NW MAUZEY RD",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971249327",
"telephone_number": "503-278-6542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21210 NW MAUZEY RD",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971249327",
"telephone_number": "503-278-6542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUPILLO",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-06",
"last_updated": "2013-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C2714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.