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ELLIE ROSE ANTICO BA
NPI 1386164572
Counselor - Mental Health in Hillsboro, OR

Active since June 20, 2017Opted out of Medicare · through Aug 28, 2027
4950 NE BELKNAP CT STE 205, HILLSBORO, OR 97124(503) 560-5822(888) 503-2864 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jun 20, 2017 (2 updates tracked since 2017).

About Ellie Rose Antico Ba NPPES

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

ELLIE ROSE ANTICO BA (NPI 1386164572) is an individual mental health provider in Hillsboro, Oregon and active in the NPI registry since June 2017. She has opted out of Medicare through August 28, 2027.

NPPES Registry Identity

NPI1386164572
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELLIE ROSE ANTICOCredential: BA
Location Address4950 NE BELKNAP CT STE 205Hillsboro, OR 97124-5115
Mailing Address4840 Se Naef RdMilwaukie, OR 97267-4037 · (415) 816-7165
Phone(503) 560-5822
Fax(888) 503-2864
Sole ProprietorNo
Enumeration DateJune 20, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1386164572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4950 NE BELKNAP CT STE 205, Hillsboro, OR 97124
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ellie Rose Antico Ba has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 28, 2025 through August 28, 2027.

Opt-Out Effective DateAugust 28, 2025
Opt-Out In Effect ThroughAugust 28, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

RACHEL JEAN GULELAT MA
Counselor (Mental Health)
4950 NE BELKNAP CT STE 205
HILLSBORO, OR 97124
Washington County (503) 560-5822
SKYE N PEREZ
Counselor (Mental Health)
4950 NE BELKNAP CT STE 205
HILLSBORO, OR 97124
Washington County (503) 560-5822
MR. DAVID MERRITT HALL M.ED,LSC,PCASSOCIATE
Counselor (Mental Health)
4950 NE BELKNAP CT STE 205
HILLSBORO, OR 97124
Washington County (503) 560-5822
EMILY LETHA WILSON-BARNARD QMHA
Counselor (Mental Health)
4950 NE BELKNAP CT STE 205
HILLSBORO, OR 97124
Washington County (503) 560-5822
KIERSTEN LINDAHL
Counselor (Mental Health)
4950 NE BELKNAP CT STE 205
HILLSBORO, OR 97124
Washington County (503) 560-5822
BRYCE ANTHONY TAYLOR
Counselor (Mental Health)
4950 NE BELKNAP CT STE 205
HILLSBORO, OR 97124
Washington County (503) 560-5822
ELIZABETH ANN GLOVER
Counselor
4950 NE BELKNAP CT STE 205
HILLSBORO, OR 97124
Washington County (503) 560-5822
MRS. LAURA ELIZABETH DAILY
Counselor (Mental Health)
4950 NE BELKNAP CT STE 205
HILLSBORO, OR 97124
Washington County (503) 560-5822

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 Ellie Antico's NPI number?

The NPI number for Ellie Antico is 1386164572. It was assigned to this individual provider in the NPPES registry on June 20, 2017.

Where is Ellie Antico located?

Ellie Antico practices at 4950 NE Belknap Ct Ste 205, Hillsboro, OR 97124. The listed phone number is (503) 560-5822.

What is Ellie Antico's specialty?

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

Is Ellie Antico enrolled in Medicare?

No. Ellie Antico has opted out of Medicare through August 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Ellie Antico was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.