Ellhorn, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ELLHORN, LLC

Practice address

1975 NW 167TH PL Ste 100
Beaverton, OR 97006-4908

Phone

(503) 447-3566

Fax

(971) 223-0987

NPI assigned

Mar 8, 2023

Organization subpart

No

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

Authorized official

Name

Heather Rocha, PCA, CRC, NCCNPI 1407566466

Title

Owner/Professional Counselor Assoc.

Phone

(503) 447-3566

Specialties & licenses 1

Addresses

Practitioners 1

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

• Heather Rocha, CRC, PCA

  • Mental Health Counselor
  • Beaverton, OR
  • NPI 1407566466
  NPD Authorized official

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1922708783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 NW 167TH PL STE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064908",
            "telephone_number": "503-447-3566",
            "fax_number": "971-223-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 NW 167TH PL STE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064908",
            "telephone_number": "503-447-3566",
            "fax_number": "971-223-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLHORN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "ROCHA",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER/PROFESSIONAL COUNSELOR ASSOC.",
        "authorized_official_telephone_number": "503-447-3566",
        "authorized_official_credential": "PCA, CRC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 May 9, 2024; 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.