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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ELIZABETH BOLES-DREYFUS LPC
NPI 1255642617
Counselor - Professional in Tualatin, OR

Active since June 30, 2010PECOS Enrolled
18765 SW BOONES FERRY RD STE 100, TUALATIN, OR 97062(503) 612-1000 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 22, 2026, Jul 24, 2024, Jul 20, 2024 and 1 more (4 updates tracked since 2020).

About Elizabeth Boles-dreyfus Lpc NPPES

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

ELIZABETH BOLES-DREYFUS LPC (NPI 1255642617) is an individual professional provider in Tualatin, Oregon, licensed in Oregon (C8547) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1255642617
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameELIZABETH BOLES-DREYFUSCredential: LPC
Location Address18765 SW BOONES FERRY RD STE 100Tualatin, OR 97062-8607
Mailing Address847 Ne 19th AvePortland, OR 97232-2684 · (503) 645-3581
Phone(503) 612-1000
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateJune 30, 2010
Last NPPES UpdateJuly 22, 20264 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1255642617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C8547
18765 SW BOONES FERRY RD STE 100, Tualatin, OR 97062
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Secondary Practice Location 1

Location 114600 NW Cornell RdPortland, OR 97229-5442 · Phone (503) 645-3581

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Boles-dreyfus Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759862923
PECOS Enrollment IDI20260225002855
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

RACQUEL CHERIE KAVANAUGH
Case Manager/Care Coordinator
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Washington County (971) 341-4841
ALEXANDER CRISCUOLO
Behavior Technician
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Washington County (503) 612-1000
MATTHEW LEWIS KAMERY
Behavior Analyst
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Washington County (503) 612-1000
SOPHIE STONE
Behavior Technician
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Washington County (503) 612-1000
MIRNA TORRES CISNEROS, BAI
Behavior Technician
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Washington County (503) 612-1000
WESTERN PSYCHOLOGICAL AND COUNSELING SERVICES LLC
Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Washington County (503) 612-1000
MELISSA MIRACLE LPC
Counselor (Professional)
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Washington County (503) 612-1000
NATALIE LAUREN SAMUELS
Behavior Analyst
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Washington County (503) 612-1000

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 Elizabeth Boles-dreyfus's NPI number?

The NPI number for Elizabeth Boles-dreyfus is 1255642617. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Where is Elizabeth Boles-dreyfus located?

Elizabeth Boles-dreyfus practices at 18765 SW Boones Ferry Rd Ste 100, Tualatin, OR 97062. The listed phone number is (503) 612-1000.

What is Elizabeth Boles-dreyfus's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Elizabeth Boles-dreyfus enrolled in Medicare?

Yes. Elizabeth Boles-dreyfus is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Elizabeth Boles-dreyfus accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Elizabeth Boles-dreyfus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elizabeth Boles-dreyfus was last updated on July 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.