Individual provider Active NPI

Jessica Ellington, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Beaverton, OR
National Provider Identifier
1972195337
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10031835 Issued in OR
Practice address
4795 SW Watson Ave
Beaverton, OR 97005-0512
Phone
(971) 606-5252
Fax
(971) 231-0217
NPI assigned
Feb 8, 2021
Sex
Female
Sole proprietor
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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10031835 OR Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-151047 AL
Registered Nurse 163W00000X 1-151047 AL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 313139 AZ

Addresses

Primary practice location

4795 SW Watson Ave
Beaverton, OR 97005-0512

Mailing address

600 Sun Temple Dr
Madison, AL 35758-8643
Phone (256) 975-4291

Other practice location 1

300 Carter Dr
Grove Hill, AL 36451-3306
Phone (251) 575-4203

Other practice location 2

7101 US Highway 90 Ste 103
Daphne, AL 36526-9510
Phone (256) 701-5651

Other practice location 3

1001 SW Disk Dr Ste 250
Bend, OR 97702-3754
Phone (541) 293-1325

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-151047ALMDRegistered Nurse
313139AZMDPsychiatric/Mental Health Nurse Practitioner
10031835ORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pivot Behavioral Health LLC Psychiatric/Mental Health CurrentSince Feb 2, 2025 Accepting new patients
Ellington ADHD Clinic LLC Psychiatric/Mental Health Current Accepting new patients
Iop Behavioral Health, LLC PastSince Jul 6, 2024 Accepting new patients

Locations

1001 SW Disk Dr
Ste 250
Bend, OR 97702
Phone (541) 293-1325

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1972195337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SUN TEMPLE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588643",
            "telephone_number": "256-975-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4795 SW WATSON AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970050512",
            "telephone_number": "971-606-5252",
            "fax_number": "971-231-0217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Carter Dr",
            "address_purpose": "LOCATION",
            "city": "Grove Hill",
            "state": "AL",
            "postal_code": "364513306",
            "country_code": "US",
            "telephone_number": "251-575-4203",
            "fax_number": "251-575-9459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7101 US Highway 90 Ste 103",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365269510",
            "country_code": "US",
            "telephone_number": "256-701-5651",
            "fax_number": "256-429-9411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 SW Disk Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977023754",
            "country_code": "US",
            "telephone_number": "541-293-1325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLINGTON",
        "first_name": "JESSICA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10031835",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-151047",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-151047",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "313139",
            "primary": false
        }
    ],
    "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.