Individual provider Active NPI

Eliza Gabrielle Albright

  • Mental Health Counselor
  • Corvallis, OR
National Provider Identifier
1982191102
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
L11929 Issued in OR
Practice address
1300 NW Harrison Blvd
Corvallis, OR 97330-6277
Phone
(541) 203-0485
Fax
(541) 833-6656
NPI assigned
Apr 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X L11929 OR Primary

Addresses

Primary practice location

1300 NW Harrison Blvd
Corvallis, OR 97330-6277

Mailing address

3415 SE Powell Blvd
Portland, OR 97202-3371

Other practice location 1

3231 SE 50th Ave
Portland, OR 97206-2248
Phone (503) 231-7480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241122004151 OR Practitioner - Clinical Social Worker 6305371618 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L11929ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Transformative Health and Wellness CurrentSince Oct 1, 2025 Accepting new patients
Project Quest Past Accepting new patients

Locations

1300 NW Harrison Blvd
Corvallis, OR 97330
Phone (541) 203-0485

Organizations & group practices 2

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": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1982191102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 SE POWELL BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 NW HARRISON BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306277",
            "telephone_number": "541-203-0485",
            "fax_number": "541-833-6656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3231 SE 50th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972062248",
            "country_code": "US",
            "telephone_number": "503-231-7480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALBRIGHT",
        "first_name": "ELIZA",
        "middle_name": "GABRIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "L11929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.