ELISSA KATHLEEN MANTALAS MA
NPI 1164605499
Counselor - Mental Health in Portland, OR

Q: What is Elissa Mantalas's NPI number?

The NPI number for Elissa Mantalas is 1164605499. It was assigned to this individual provider in the NPPES registry on December 10, 2007.

Q: What is Elissa Mantalas's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Elissa Mantalas was last updated on December 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 10, 2007

2410 SE 121ST AVE STE 216, PORTLAND, OR 97216(971) 570-4721 Get Directions Write a Review

NPPES record last updated: December 10, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Elissa Kathleen Mantalas Ma NPPES

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

ELISSA KATHLEEN MANTALAS MA (NPI 1164605499) is an individual mental health provider in Portland, Oregon and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1164605499

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameELISSA KATHLEEN MANTALASCredential: MA

Location Address2410 SE 121ST AVE STE 216Portland, OR 97216-4085

Mailing Address2410 Se 121st Ave Ste 216Portland, OR 97216-4085

Phone(971) 570-4721

Sole ProprietorNo

Enumeration DateDecember 10, 2007

✔ NPI 1164605499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

2410 SE 121ST AVE STE 216, Portland, OR 97216

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Other Providers at the Same Location NPPES 4

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

MS. SHEILA GAYLE YATES MPH

Counselor

2410 SE 121ST AVE STE 216
PORTLAND, OR 97216

Multnomah County (503) 335-5975

MRS. KELLY ERIN HIBBS MA

Counselor

2410 SE 121ST AVE STE 216
PORTLAND, OR 97216

Multnomah County (503) 975-8381

GINA MARIE BATLINER LPC

Counselor

2410 SE 121ST AVE STE 216
PORTLAND, OR 97216

Multnomah County (503) 335-5974

CONSTANCE JOAN COQUILLETTE LCSW

Social Worker (Clinical)

2410 SE 121ST AVE STE 216
PORTLAND, OR 97216

Multnomah County (971) 404-5174

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 Elissa Mantalas's NPI number?

The NPI number for Elissa Mantalas is 1164605499. It was assigned to this individual provider in the NPPES registry on December 10, 2007.

Where is Elissa Mantalas located?

Elissa Mantalas practices at 2410 SE 121st Ave Ste 216, Portland, OR 97216. The listed phone number is (971) 570-4721.

What is Elissa Mantalas's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Elissa Mantalas was last updated on December 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.