1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Marriage Family Therapist
  6. NPI Profile

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

Active since March 03, 2017PECOS Enrolled
1312 E BURNSIDE ST, PORTLAND, OR 97214(503) 205-1669 Get Directions Write a Review

NPPES record last updated: March 3, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Omolola Elliott Lcsw NPPES

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

OMOLOLA ELLIOTT LCSW (NPI 1285174680) is an individual marriage & family therapist in Portland, Oregon, licensed in Oregon (L7113) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1285174680
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameOMOLOLA ELLIOTTCredential: LCSW
Location Address1312 E BURNSIDE STPortland, OR 97214-1424
Mailing Address3439 Ne Sandy Blvd, Suite 216Portland, OR 97232-1959 · (503) 205-1669
Phone(503) 205-1669
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 3, 2017
✔ NPI 1285174680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in OR · L7113
Definition
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.
1312 E BURNSIDE ST, Portland, OR 97214
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Omolola Elliott Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416291166
PECOS Enrollment IDI20181206000903
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Omolola Elliott reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gateway To Rejuvenation
Same address
Community/Behavioral Health
1312 E BURNSIDE ST
Portland, OR 97214
  • Reassigned Medicare billing, Georgia enrollment
NPI 1407388812 (503) 205-1669
Helping Hearts Behavioral Health Services, LLC
2,177 mi
Community/Behavioral Health
6607 POWERS ST
Riverdale, GA 30274
  • Reassigned Medicare billing, Georgia enrollment
  • 5 clinicians in this Medicare group
NPI 1578170882 (678) 834-5711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

GATEWAY TO REJUVENATION
Community/Behavioral Health
1312 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 205-1669
KATIE AZAROW, LCSW, CADC I
Social Worker (Clinical)
1312 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (402) 253-4713
DR. YURI HIRANUMA D.O.
Neuromusculoskeletal Medicine & OMM
1312 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 331-3916
YIN JIA LI LMFT
Marriage & Family Therapist
1312 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (971) 801-2280
HEALTH MATTERS NORTHWEST, LLC
Social Worker (Clinical)
1312 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (971) 404-5174
MARK AMOROSO LPC, CADC
Counselor (Mental Health)
1312 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 956-4666

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 Omolola Elliott's NPI number?

The NPI number for Omolola Elliott is 1285174680. It was assigned to this individual provider in the NPPES registry on March 3, 2017.

Where is Omolola Elliott located?

Omolola Elliott practices at 1312 E Burnside St, Portland, OR 97214. The listed phone number is (503) 205-1669.

What is Omolola Elliott's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Omolola Elliott enrolled in Medicare?

Yes. Omolola Elliott is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Omolola Elliott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omolola Elliott reassigns Medicare benefits to 2 organizations: Gateway To Rejuvenation (Portland, OR) and Helping Hearts Behavioral Health Services, LLC (Riverdale, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Omolola Elliott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Omolola Elliott accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Omolola Elliott 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 Omolola Elliott was last updated on March 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.