Individual provider Active NPI

Kara Elliott

  • Marriage & Family Therapist
  • Portland, OR
National Provider Identifier
1932557188
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T-2001 Issued in OR
Practice address
6108 NE Glisan St
Portland, OR 97213-3864
Phone
(503) 502-4586
NPI assigned
May 28, 2016
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Mental Health Counselor 101YM0800X C-6486 OR
Professional Counselor 101YP2500X NU
Marriage & Family Therapist 106H00000X T-2001 OR Primary

Addresses

Primary practice location

6108 NE Glisan St
Portland, OR 97213-3864

Mailing address

14795 SE Old Barn LN
Damascus, OR 97089-9267
Phone (503) 502-4586

Other practice location 1

253 E Washington St Ste 200
New Castle, PA 16101
Phone (724) 531-6615

Other practice location 2

2501 Harrison St
Oakland, CA 94612-3811
Phone (510) 444-3344

Other practice location 3

1266 14th St
Oakland, CA 94607-2205
Phone (510) 273-4700

Other practice location 4

1033 SW 152nd St
Burien, WA 98166-1845
Phone (206) 242-1698

Other practice location 5

1033 SW 152nd St
Burien, WA 98166-1845
Phone (206) 242-1698

Other practice location 6

14795 SE Old Barn Ln
Damascus, OR 97089-9267
Phone (503) 502-4586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C-6486ORMDMental Health Counselor
T-2001ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin Driscoll DPM, LLC CurrentSince Dec 15, 2024 Accepting new patients
Oakland Counseling Center PastSince Nov 24, 2019 Accepting new patients
Navos Mental Health PastSince Feb 1, 2020 Accepting new patients
John F. Kennedy University Mental Health Past Accepting new patients

Locations

6108 NE Glisan St
Portland, OR 97213
Phone (503) 255-8100

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1464393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1932557188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14795 SE OLD BARN LN",
            "city": "DAMASCUS",
            "state": "OR",
            "postal_code": "970899267",
            "telephone_number": "503-502-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6108 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133864",
            "telephone_number": "503-502-4586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "253 E Washington St Ste 200",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "PA",
            "postal_code": "16101",
            "country_code": "US",
            "telephone_number": "724-531-6615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 Harrison St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946123811",
            "country_code": "US",
            "telephone_number": "510-444-3344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1266 14th St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946072205",
            "country_code": "US",
            "telephone_number": "510-273-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1033 SW 152nd St",
            "address_purpose": "LOCATION",
            "city": "Burien",
            "state": "WA",
            "postal_code": "981661845",
            "country_code": "US",
            "telephone_number": "206-242-1698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1033 SW 152nd St",
            "address_purpose": "LOCATION",
            "city": "Burien",
            "state": "WA",
            "postal_code": "981661845",
            "country_code": "US",
            "telephone_number": "206-242-1698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14795 SE Old Barn Ln",
            "address_purpose": "LOCATION",
            "city": "Damascus",
            "state": "OR",
            "postal_code": "970899267",
            "country_code": "US",
            "telephone_number": "503-502-4586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "KARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-28",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C-6486",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T-2001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.