OMOLOLA ELLIOTT LCSW
NPI 1285174680
Marriage & Family Therapist in Portland, OR

NPI Status: Active since March 03, 2017

Contact Information

1312 E BURNSIDE ST
PORTLAND, OR
ZIP 97214
Phone: (503) 205-1669

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  • Individual
  • Female
  • Years of Experience 18
  • Marriage & Family Therapist
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About OMOLOLA ELLIOTT

This page provides the complete NPI Profile along with additional information for Omolola Elliott, a provider established in Portland, Oregon with a medical specialization in Marriage & Family Therapist and more than 18 years of experience. The healthcare provider is registered in the NPI registry with number 1285174680 assigned on March 2017. The practitioner's primary taxonomy code is 106H00000X with license number L7113 (OR). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1285174680
Provider Name
OMOLOLA ELLIOTT LCSW
Gender
Female
Entity Type
Individual
Location Address
1312 E BURNSIDE ST PORTLAND, OR 97214
Location Phone
(503) 205-1669
Mailing Address
3439 NE SANDY BLVD SUITE 216 PORTLAND, OR 97232
Mailing Phone
(503) 205-1669
Medical School Name
OTHER
Graduation Year
2008
Is Sole Proprietor?
Yes
Enumeration Date
03-03-2017
Last Update Date
03-03-2017
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A marriage and family therapist like Omolola Elliott help patients manage problems with their family and other relationships. Marriage and family therapists encourage clients to discuss their emotions and experiences and, develop strategies and skills to change behavior and cope with difficult situations. Many therapists apply cognitive behavioral therapy to help patients understand harmful thoughts, feelings, and also teach patients how to replace them with positive, life-enhancing ones.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Marriage & Family Therapist

Taxonomy Code
106H00000X
Type
Behavioral Health & Social Service Providers
License No.
L7113
License State
OR
Taxonomy Description
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Moda Health Affinity Bronze 7750 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Moda Select Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Bronze HDHP 7500 - EPO
  • Moda Select Gold 1000 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Gold 1800 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Connect 1500 Gold - EPO
  • Connect 5000 Silver - EPO
  • Connect 9200 Bronze - EPO
  • HSA Qualified 7100 Bronze - Signature Network - EPO
  • HSA Qualified 7100 Bronze - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO
  • Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
  • Bronze HSA 7000 Individual and Family Network - EPO
  • Gold 2300 Individual and Family Network - EPO
  • Gold 2300 Legacy - EPO
  • Regence Standard Bronze Plan Individual and Family Network - EPO
  • Regence Standard Bronze Plan Legacy - EPO
  • Regence Standard Gold Plan Individual and Family Network - EPO
  • Regence Standard Gold Plan Legacy - EPO
  • Regence Standard Silver Plan Individual and Family Network - EPO
  • Regence Standard Silver Plan Legacy - EPO
  • Silver 6200 Individual and Family Network - EPO
  • Silver 6200 Legacy - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Omolola Elliott is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Omolola Elliott is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7416291166

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20181206000903

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for OMOLOLA ELLIOTT LCSW

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285174680
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165278616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 2 + 7 + 8 + 6 + 1 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1285174680 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497768964DR. YURI HIRANUMA D.O.
Individual
Neuromusculoskeletal Medicine & OMM1312 E BURNSIDE ST
PORTLAND, OR 97214
(503) 331-3916
1467998229KATIE AZAROW, LCSW, CADC I
Organization
Social Worker (Clinical)1312 E BURNSIDE ST
PORTLAND, OR 97214
(402) 253-4713
1871989012 AMY ESATTO RD, LD
Individual
Dietitian, Registered1312 E BURNSIDE ST
PORTLAND, OR 97214
(503) 949-5499
1407388812GATEWAY TO REJUVENATION
Organization
Community/Behavioral Health1312 E BURNSIDE ST
PORTLAND, OR 97214
(503) 205-1669
1598291999THIS
Organization
Dietitian, Registered1312 E BURNSIDE ST
PORTLAND, OR 97214
(503) 949-5499
1992283873 MARK AMOROSO LPC, CADC
Individual
Counselor (Mental Health)1312 E BURNSIDE ST
PORTLAND, OR 97214
(503) 956-4666
1821566761 YIN JIA LI LMFT
Individual
Marriage & Family Therapist1312 E BURNSIDE ST
PORTLAND, OR 97214
(971) 801-2280
1851757686HEALTH MATTERS NORTHWEST, LLC
Organization
Social Worker (Clinical)1312 E BURNSIDE ST
PORTLAND, OR 97214
(971) 404-5174

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285174680, enumerated in the NPI registry as an "individual" on March 03, 2017

The provider is located at 1312 E Burnside St Portland, Or 97214 and the phone number is (503) 205-1669

The provider's speciality is Marriage & Family Therapist with taxonomy code 106H00000X

The provider has more than 18 years of experience.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on March 03, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.