Active NPI
Kara Elliott
- Marriage & Family Therapist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T-2001
- Practice address
- 6108 NE Glisan St
Portland, OR 97213-3864 - Phone
- (503) 502-4586
- NPI assigned
- May 28, 2016
- Last updated
- Dec 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| C-6486 | OR | MD | Mental Health Counselor |
| T-2001 | OR | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kevin Driscoll DPM, LLC | Current | Accepting new patients | |
| Oakland Counseling Center | Past | Accepting new patients | |
| Navos | Mental Health | Past | 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.
-
dba Oregon Foot Clinic
- Foot & Ankle Surgery Podiatrist
- Portland, OR
- NPI 1326625856
-
dba JFKU Community Counseling Center - Oakland
- Marriage & Family Therapist
- Oakland, CA
- NPI 1871954388
Mental Health
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Seattle, WA
- NPI 1194728105
-
- Case Management Agency
- Oakland, CA
- NPI 1053956755
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.