Active NPI
Safaa A Elnour, LMHC
- Mental Health Counselor
- Roseburg, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 123892
- Practice address
- 3005 NE Diamond Lake Blvd
Roseburg, OR 97470-3609 - Phone
- (541) 440-3532
- Fax
- (541) 440-3554
- NPI assigned
- Nov 4, 2019
- Last updated
- Apr 3, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 123892 | IA | Primary |
Addresses
Primary practice location
3005 NE Diamond Lake Blvd
Roseburg, OR 97470-3609
Mailing address
PO Box 1121
Roseburg, OR 97470-0254
Phone (541) 672-2691
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2090 Glen Oaks Dr
Coralville, IA 52241-3225
2461 10TH St
Suite 202
Coralville, IA 52241-1201
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123892 | IA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flanagan Obrien Mental Wellness PLLC | Mental Health | Current | Accepting new patients |
| Downriver Mental Health Clinic PC | Mental Health | Past | Accepting new patients |
| Adapt | Past | Accepting new patients |
Locations
2461 10th St
Ste 202
Coralville, IA 52241
Phone (319) 359-1558
2461 10th St
Ste 210
Coralville, IA 52241
Organizations & group practices 3
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 Elevate Mental Wellness
- Mental Health Counselor
- Coralville, IA
- NPI 1568147353
-
dba SouthRiver Medical Clinic aka: SouthRiver Community Health Center
- Federally Qualified Health Center (FQHC)
- Winston, OR
- NPI 1912061755
-
dba Lifestance Health, Inc
- Psychologist
- Taylor, MI
- NPI 1295866135
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775174400000",
"number": "1609410570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1121",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974700254",
"telephone_number": "541-672-2691",
"fax_number": "541-440-3554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 NE DIAMOND LAKE BLVD",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974703609",
"telephone_number": "541-440-3532",
"fax_number": "541-440-3554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELNOUR",
"first_name": "SAFAA",
"middle_name": "A",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-04",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "123892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.