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MS. EMELIE ANGELINA DOUGLAS MA, LPC
NPI 1467821199
Counselor in Portland, OR

Active since September 23, 2015PECOS Enrolled
9133 N ALLEGHENY AVE, PORTLAND, OR 97203(971) 319-4827(503) 662-6221 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 18, 2026, Jun 25, 2025, Jun 18, 2024 and 2 more (5 updates tracked since 2016).

About Ms. Emelie Angelina Douglas Ma, Lpc NPPES

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

MS. EMELIE ANGELINA DOUGLAS MA, LPC (NPI 1467821199) is an individual counselor in Portland, Oregon, licensed in Oregon (C5035) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1467821199
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. EMELIE ANGELINA DOUGLASCredential: MA, LPC
Location Address9133 N ALLEGHENY AVEPortland, OR 97203-2303
Mailing Address9133 N Allegheny AvePortland, OR 97203-2303 · (971) 319-4827 · Fax (503) 662-6221
Phone(971) 319-4827
Fax(503) 662-6221
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 23, 2015
Last NPPES UpdateMarch 18, 20265 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
✔ NPI 1467821199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OR · C5035
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
9133 N ALLEGHENY AVE, Portland, OR 97203
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Other Names 1

Former Name (1)Regina Emily Gagliardo Emelie A. Blank

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans 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)

Ms. Emelie Angelina Douglas Ma, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779074182
PECOS Enrollment IDI20251113003178
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 Reassignment

Medicare enrollment records show Emelie Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sprout Therapy Pdx LLC
1.4 mi
Counselor
7704 N HEREFORD AVE
Portland, OR 97203
  • Reassigned Medicare billing, Oregon enrollment
  • 25 clinicians in this Medicare group
NPI 1093346777 (971) 319-4827

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 2

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

MRS. CARRIE MICHAEL SCARAMASTRA M.S.
Counselor
9133 N ALLEGHENY AVE
PORTLAND, OR 97203
Multnomah County (503) 389-5868
EVELYN ALICE SVENDSEN
Counselor
9133 N ALLEGHENY AVE
PORTLAND, OR 97203
Multnomah County (206) 890-8045

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 Emelie Douglas's NPI number?

The NPI number for Emelie Douglas is 1467821199. It was assigned to this individual provider in the NPPES registry on September 23, 2015. The provider is also known as Regina Emily Gagliardo Emelie A. Blank.

Where is Emelie Douglas located?

Emelie Douglas practices at 9133 N Allegheny Ave, Portland, OR 97203. The listed phone number is (971) 319-4827.

What is Emelie Douglas's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Emelie Douglas enrolled in Medicare?

Yes. Emelie Douglas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Emelie Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emelie Douglas reassigns Medicare benefits to Sprout Therapy Pdx LLC (Portland, OR). 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 Emelie Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emelie Douglas accept?

Health plans from Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Emelie Douglas 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 Emelie Douglas was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.