Jekaterina Trubilova

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

Oregon Plaza Building
825 NE 20TH Ave, Suite 250
Portland, OR 97323

Phone

(503) 917-5737

NPI assigned

Oct 27, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1700540572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OREGON PLAZA BUILDING",
            "address_2": "825 NE 20TH AVE, SUITE 250",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97323",
            "telephone_number": "503-917-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OREGON PLAZA BUILDING",
            "address_2": "825 NE 20TH AVE, SUITE 250",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97323",
            "telephone_number": "503-917-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUBILOVA",
        "first_name": "JEKATERINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katya@portlandtherapyproject.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Oregon Plaza Building",
            "address_2": "825 NE 20th Ave, Suite 250",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "97323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Renee Lynn Trovillion, CSWA, MSW
• Danette Troxel
• Samuel Archibald Troxel, MD
• Patricia Jean Troy
• Shannon Trubatch
• Phoebe Rowand Trubowitz, MD
• Aaron Truby
• Angela Christine Truby, CPM, LDM
• Jamie Trudeau, MS, NCC, LPC, CADC
• Joseph Douglas Trudeau, MD

• Mental Health Counselor in Portland, OR
• Providers in Portland, 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 Oct 27, 2021; 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.