ELLIE ROBERSON
NPI 1063010809
Counselor in Portland, OR

Active since October 14, 2020
1904 SE DIVISION ST, PORTLAND, OR 97202(503) 517-8663 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ellie Roberson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLIE ROBERSON (NPI 1063010809) is an individual counselor in Portland, Oregon and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1063010809
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameELLIE ROBERSON
Location Address1904 SE DIVISION STPortland, OR 97202-1146
Mailing Address1904 Se Division StPortland, OR 97202-1146 · (503) 517-8663
Sole ProprietorNo
Enumeration DateOctober 14, 2020
Last NPPES UpdateApril 25, 2023
NPPES CertifiedApril 25, 2023
NPI 1063010809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1904 SE DIVISION ST, Portland, OR 97202

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1904 SE DIVISION ST
PORTLAND, OR 97202
Counselor
1904 SE DIVISION ST
PORTLAND, OR 97202
Counselor
1904 SE DIVISION ST
PORTLAND, OR 97202
Counselor
1904 SE DIVISION ST
PORTLAND, OR 97202
Case Manager/Care Coordinator
1904 SE DIVISION ST
PORTLAND, OR 97202
Counselor
1904 SE DIVISION ST
PORTLAND, OR 97202
Marriage & Family Therapist
1904 SE DIVISION ST
PORTLAND, OR 97202
Counselor
1904 SE DIVISION ST
PORTLAND, OR 97202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellie Roberson's NPI number?

The NPI number for Ellie Roberson is 1063010809. It was assigned to this individual provider in the NPPES registry on October 14, 2020.

Where is Ellie Roberson located?

Ellie Roberson practices at 1904 SE Division St, Portland, OR 97202. The listed phone number is (503) 517-8663.

What is Ellie Roberson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Ellie Roberson was last updated on April 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.