Sean Patrick Ellison, LCMHC
Sean Patrick Ellison, LCMHC is a Mental Health Counselor in Beaverton, Oregon. Qualified in 2014, 12 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in New Hampshire and Oregon.
- Years since qualifying
- 12
- Licensed in
- NH, OR
- In the registry since
- 2009
- Specialties on file
- 4
Practice location Address checks out
8285 SW Nimbus Ave Ste 130Beaverton, OR 97008-6428
Phone: (503) 610-2044
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 401 Cypress St, Manchester, NH 03103-3628 — (603) 668-4111
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence C5453 (OR) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
| Mental Health Counselor | Taxonomy 101YM0800X · Licence 1999 (NH) |
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1588893010 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCMHC |
| Sole proprietor | No |
| NPI enumerated | July 6, 2009 |
| Last updated in NPPES | April 15, 2022 |
| Certification date | April 15, 2022 |
| Mailing address | 8285 Sw Nimbus Ave Ste 130, Beaverton, OR 97008-6428 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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