Gabriella Bordonali

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

19536 SW Stacey St
Beaverton, OR 97003-2521

Phone

(458) 225-9358

NPI assigned

Sep 10, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/elderlyanddisabledservices/r4/

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.

• Elderly and Disabled Services

  • Mental Illness Community Based Residential Treatment Facility
  • Central Point, OR
  • NPI 1033926605
  NPD (past)
• Elderly and Disabled Services

  • Mental Illness Community Based Residential Treatment Facility
  • Medford, OR
  • NPI 1336889211
  NPD (past)
• Elderly and Disabled Services

  • Mental Illness Community Based Residential Treatment Facility
  • Beaverton, OR
  • NPI 1417764077
  NPD (past)
• Elderly and Disabled Services

  • Mental Illness Community Based Residential Treatment Facility
  • Medford, OR
  • NPI 1932714581
  NPD (past)

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1760151906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 STATE ST STE 100",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048665",
            "telephone_number": "458-225-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19536 SW STACEY ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970032521",
            "telephone_number": "458-225-9358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "995 SW 178th Pl",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970037504",
            "country_code": "US",
            "telephone_number": "458-225-9358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4585 SW 185th Ave",
            "address_purpose": "LOCATION",
            "city": "Aloha",
            "state": "OR",
            "postal_code": "970781557",
            "country_code": "US",
            "telephone_number": "503-591-9280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "248 Mace Rd",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975011280",
            "country_code": "US",
            "telephone_number": "458-225-9358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "794 Ridgeway Ave",
            "address_purpose": "LOCATION",
            "city": "Central Point",
            "state": "OR",
            "postal_code": "975023520",
            "country_code": "US",
            "telephone_number": "458-225-9358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORDONALI",
        "first_name": "GABRIELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ty A Bommersbach, DPT
• Robin Ann Bonanomi, M.S.
• Alexandra Gabrielle Bond, M.D.
• Laura Bonin
• Espree Elizabeth Bonterre, L.M.T.
• Sadie Anne Bormuth
• Loren Bornstein, LMT
• Isabelle Borris, CADC-R, CGAC-R
• Simona Daniela Borza, PMHNP
• Roger Bost

• Mental Health Counselor in Beaverton, OR
• Providers in Beaverton, 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 8, 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.