Active NPI
Ellington ADHD Clinic LLC
- Psychiatric/Mental Health Nurse Practitioner
- Beaverton, OR
National Provider Identifier
1891647426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- ELLINGTON ADHD CLINIC LLC
- Practice address
- 17683 SW Cobb LN
Beaverton, OR 97007-9501 - Phone
- (971) 299-7255
- Fax
- (971) 231-0217
- NPI assigned
- Feb 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica N Ellington, PMHNP-BC
- Title
- Pmhnp
- Phone
- (971) 299-7255
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
17683 SW Cobb LN
Beaverton, OR 97007-9501
Mailing address
17683 SW Cobb LN
Beaverton, OR 97007-9501
Phone (971) 299-7255
Other practice location 1
4795 SW Watson Ave
Beaverton, OR 97005-0512
Phone (971) 606-5252
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Beaverton, OR
- NPI 1972195337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785369600000",
"number": "1891647426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17683 SW COBB LN",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970079501",
"telephone_number": "971-299-7255",
"fax_number": "971-231-0217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17683 SW COBB LN",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970079501",
"telephone_number": "971-299-7255",
"fax_number": "971-231-0217"
}
],
"practiceLocations": [
{
"address_1": "4795 SW Watson Ave",
"address_purpose": "LOCATION",
"city": "Beaverton",
"state": "OR",
"postal_code": "970050512",
"country_code": "US",
"telephone_number": "971-606-5252",
"fax_number": "971-231-0217",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ELLINGTON ADHD CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-14",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A",
"authorized_official_last_name": "ELLINGTON",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PMHNP",
"authorized_official_telephone_number": "971-299-7255",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.