Organization Active NPI

Ellington ADHD Clinic LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Beaverton, OR
National Provider Identifier
1891647426
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Jul 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jessica N Ellington, PMHNP-BCNPI 1972195337
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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.