MRS. ELISSA L STARKS MACADCI LPC NCC NPI 1861852899

NPI Information

NPI: 1861852899
Provider Name: MRS. ELISSA L STARKS, MA,CADCI, LPC, NCC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
5228 NE HOYT ST
PORTLAND, OR
ZIP 97213
Phone: (503) 215-2584
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MRS. Elissa L Starks, MA,CADCI, LPC, NCC is an addiction (substance use disorder) counselor in Portland, OR. MRS. Elissa L Starks, MA,CADCI, LPC, NCC NPI is 1861852899. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5228 NE HOYT ST
PORTLAND, OR
ZIP 97213-055
Phone: (503) 215-2584

The enumeration date for this NPI number is 3/3/2016 and was last updated on 12/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LH60889395	WASHINGTON	No
2	101Y00000X	Counselor		274873	OREGON	No
3	101YP2500X	Counselor	Professional	C5348	OREGON	No
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)	13-12-40	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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