BRANDI ELISE LCSW
NPI 1376681114
Social Worker - Clinical in Portland, OR
About Brandi Elise Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRANDI ELISE LCSW (NPI 1376681114) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L3595) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Brandi Elise Lcsw 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.
Medicare Billing Reassignment
Medicare enrollment records show Brandi Elise reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mountlake Terrace, WA 98043
- Reassigned Medicare billing, Oregon enrollment
- 234 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97236
PORTLAND, OR 97236
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 Brandi Elise's NPI number?
The NPI number for Brandi Elise is 1376681114. It was assigned to this individual provider in the NPPES registry on February 2, 2007.
Where is Brandi Elise located?
Brandi Elise practices at 14815 SE Division St, Portland, OR 97236. The listed phone number is (503) 595-2749.
What is Brandi Elise's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Brandi Elise enrolled in Medicare?
Yes. Brandi Elise 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.
Which organization bills Medicare for Brandi Elise's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brandi Elise reassigns Medicare benefits to Mindful Therapy Group PC (Mountlake Terrace, WA). The 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 Brandi Elise's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brandi Elise accept?
Health plans from Kaiser Permanente, Moda Health Plan, Inc. and Providence Health Plan list Brandi Elise 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 Brandi Elise was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Brandi Elise, LCSW · NPI 1376681114
Clinical provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since February 2, 2007.
## Identity
- **NPI:** 1376681114 (Entity type: Individual)
- **Enumerated:** February 2, 2007
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** L3595 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 14815 SE DIVISION ST, Portland, OR 97236-2336
- **Phone:** (503) 595-2749
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mindful Therapy Group PC (NPI 1316238678, Mountlake Terrace, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** November 6, 2024
- **Other identifiers:** Other L3595 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1376681114) · Data from the CMS NPPES public registry.