MRS. ELISSA L STARKS MA,CADCI, LPC, NCC
NPI 1861852899
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Q: What is Elissa Starks's NPI number?

The NPI number for Elissa Starks is 1861852899. It was assigned to this individual provider in the NPPES registry on March 3, 2016.

Q: What is Elissa Starks's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Elissa Starks was last updated on December 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 03, 2016PECOS Enrolled

5228 NE HOYT ST, PORTLAND, OR 97213(503) 215-2584 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 17, 2021, Mar 3, 2016 (2 updates tracked since 2016).

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About Mrs. Elissa L Starks Ma,cadci, Lpc, Ncc NPPES

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

MRS. ELISSA L STARKS MA,CADCI, LPC, NCC (NPI 1861852899) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (13-12-40) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861852899

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMRS. ELISSA L STARKSCredential: MA,CADCI, LPC, NCC

Location Address5228 NE HOYT STPortland, OR 97213-3055

Mailing Address5228 Ne Hoyt StPortland, OR 97213-3055 · (503) 215-2584

Phone(503) 215-2584

Sole ProprietorNo

Enumeration DateMarch 3, 2016

Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration

NPPES CertifiedDecember 17, 2021

✔ NPI 1861852899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in OR · 13-12-40

Also ListedCounselorTaxonomy 101Y00000X · License 274873 (OR)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LH60889395 (WA)

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License C5348 (OR)

5228 NE HOYT ST, Portland, OR 97213

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Elissa L Starks Ma,cadci, Lpc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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