ELIZABETH BURDZY QMHP-R
NPI 1376111062
Counselor - Mental Health in Portland, OR

Active since June 17, 2021PECOS EnrolledAccepts Medicare Assignment
1438 SE DIVISION ST, PORTLAND, OR 97202(503) 548-0346(503) 232-5959 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 28, 2023, Jun 17, 2021 (2 updates tracked since 2021).

About Elizabeth Burdzy Qmhp-r NPPES

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

ELIZABETH BURDZY QMHP-R (NPI 1376111062) is an individual mental health provider in Portland, Oregon, licensed in Oregon (24-QMHP-R-2549) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1376111062
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELIZABETH BURDZYCredential: QMHP-R
Location Address1438 SE DIVISION STPortland, OR 97202-1140
Mailing Address1776 Sw Madison StPortland, OR 97205-1715 · (503) 224-1044 · Fax (503) 621-2235
Fax(503) 232-5959
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 17, 2021
Last NPPES UpdateJanuary 12, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2024
NPI 1376111062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OR · 24-QMHP-R-2549
Also ListedCounselorTaxonomy 101Y00000X · License MG61213616 (WA)
1438 SE DIVISION ST, Portland, OR 97202

Other Identifiers 1

Medicaid500825220OR

Accepted 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 Burdzy Qmhp-r 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 ID2365972528
PECOS Enrollment IDI20250204001543
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.

Counselor (Addiction (Substance Use Disorder))
1438 SE DIVISION ST
PORTLAND, OR 97202
Counselor (Mental Health)
1438 SE DIVISION ST
PORTLAND, OR 97202
Social Worker (Clinical)
1438 SE DIVISION ST
PORTLAND, OR 97202
Social Worker (Clinical)
1438 SE DIVISION ST
PORTLAND, OR 97202
Counselor (Mental Health)
1438 SE DIVISION ST
PORTLAND, OR 97202
Peer Specialist
1438 SE DIVISION ST
PORTLAND, OR 97202
Counselor (Mental Health)
1438 SE DIVISION ST
PORTLAND, OR 97202
Counselor (Mental Health)
1438 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 Elizabeth Burdzy's NPI number?

The NPI number for Elizabeth Burdzy is 1376111062. It was assigned to this individual provider in the NPPES registry on June 17, 2021.

Where is Elizabeth Burdzy located?

Elizabeth Burdzy practices at 1438 SE Division St, Portland, OR 97202. The listed phone number is (503) 548-0346.

What is Elizabeth Burdzy's specialty?

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

Is Elizabeth Burdzy enrolled in Medicare?

Yes. Elizabeth Burdzy 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 Burdzy accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Elizabeth Burdzy 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 Burdzy was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.