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TAYLOR ELLENBURG
NPI 1457095440
Peer Specialist in Madras, OR

Active since April 25, 2022
850 SW 4TH ST, MADRAS, OR 97741(541) 475-6575 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Taylor Ellenburg NPPES

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

TAYLOR ELLENBURG (NPI 1457095440) is an individual peer specialist in Madras, Oregon, licensed in Oregon (THW000106409) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1457095440
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameTAYLOR ELLENBURG
Location Address850 SW 4TH STMadras, OR 97741-9628
Mailing AddressPo Box 1710Redmond, OR 97756-0516 · (541) 516-4097
Phone(541) 475-6575
Sole ProprietorNo
Enumeration DateApril 25, 2022
NPPES CertifiedApril 25, 2022
✔ NPI 1457095440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · THW000106409
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
850 SW 4TH ST, Madras, OR 97741
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Other Identifiers 1

OtherTHW000106409OR · Peer Support

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.

ANITA SERGEANT TWH
Peer Specialist
850 SW 4TH ST
MADRAS, OR 97741
Jefferson County (541) 475-6575
MICHELLE CAMBURN QMHP
Counselor (Mental Health)
850 SW 4TH ST
MADRAS, OR 97741
Jefferson County (541) 475-6575
LINDA MCCOY QMHA
Counselor (Mental Health)
850 SW 4TH ST
MADRAS, OR 97741
Jefferson County (541) 475-6575
RPSE SARKKINEN LCSW
Counselor
850 SW 4TH ST
MADRAS, OR 97741
Jefferson County (541) 475-6575
BRADLEY MALLINGER MSW
Counselor (Mental Health)
850 SW 4TH ST
MADRAS, OR 97741
Jefferson County (541) 475-6575
PAUL MICAHEL HILLMAN QMHA
Counselor
850 SW 4TH ST
MADRAS, OR 97741
Jefferson County (541) 475-4822
AMANDA CRISWELL QMHP
Counselor (Mental Health)
850 SW 4TH ST
MADRAS, OR 97741
Jefferson County (541) 475-6575
KATIE DULOHERY CADC
Counselor (Addiction (Substance Use Disorder))
850 SW 4TH ST
MADRAS, OR 97741
Jefferson County (541) 475-6575

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 Taylor Ellenburg's NPI number?

The NPI number for Taylor Ellenburg is 1457095440. It was assigned to this individual provider in the NPPES registry on April 25, 2022.

Where is Taylor Ellenburg located?

Taylor Ellenburg practices at 850 SW 4th St, Madras, OR 97741. The listed phone number is (541) 475-6575.

What is Taylor Ellenburg's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Taylor Ellenburg was last updated on April 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.