Organization Active NPI

Pacific Synergies NW LLC

Doing business as Ellie Mental Health

  • Professional Counselor
  • Oregon City, OR
National Provider Identifier
1902644560
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PACIFIC SYNERGIES NW LLC
Doing business as
Ellie Mental Health
Practice address
418 Beavercreek Rd Ste 102
Oregon City, OR 97045-4287
Phone
(971) 203-0683
Fax
(503) 212-0174
NPI assigned
Jul 17, 2024
Last updated
Mar 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Andrea Redeau, LPCNPI 1831623107
Title
Clinic Director
Phone
(503) 998-5613

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

418 Beavercreek Rd Ste 102
Oregon City, OR 97045-4287

Mailing address

418 Beavercreek Rd Ste 102
Oregon City, OR 97045-4287
Phone (971) 203-0683

Other names 1

  • Ellie Mental Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241118002696 OR Part B Supplier - Clinic/Group Practice 6406380195 Receives reassigned benefits from 2 practitioners
Practice locations: Oregon City, OR

National Provider Directory

National Provider Directory

Locations

7901 SE Powell Blvd
Ste B210
Portland, OR 97206

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1902644560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 BEAVERCREEK RD STE 102",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454287",
            "telephone_number": "971-203-0683",
            "fax_number": "503-212-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 BEAVERCREEK RD STE 102",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454287",
            "telephone_number": "971-203-0683",
            "fax_number": "503-212-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SYNERGIES NW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "REDEAU",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "503-998-5613",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.