ELIZABETH MCLEOD – Community/Behavioral Health Agency, NPI 1205233541

ELIZABETH MCLEOD is a healthcare provider. based in Mcminnville, Oregon. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for ELIZABETH MCLEOD is 1205233541

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH MCLEOD
NPI
1205233541
Phone
(503) 434-7523
Address
627 NE EVANS ST
Enumeration Date
2 December 2014
Last Update Date
2 December 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034347525
Graduation Year
2017 (9 years ago)
PAC ID
7517492044
Group Practice PAC ID
3274421169
Professional Enrollment ID
I20241121000525
Address ID
OR971283923MC627XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:11State licenses:0Digital endpointsOther names

1,181 MENTAL HEALTH COUNSELOR in OR

Provider Addresses for ELIZABETH MCLEOD

  • 627 NE EVANS ST

    MCMINNVILLE, OR 971283923

    Phone: (503) 434-7523

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241121000525IMental Health CounselorORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97128)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274421169View full group profile
NameSpecialtyState
Clinical Social WorkerOR
Nurse PractitionerOR
-OR
Nurse PractitionerWA
-OR
Mental Health CounselorOR
Nurse PractitionerKS
Clinical Social WorkerOR
Clinical Social WorkerOR
Nurse PractitionerOR

Reviews

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Frequently asked questions

What is the 10-digit NPI for ELIZABETH MCLEOD?
ELIZABETH MCLEOD — NPI 1205233541 — is the standard way to identify this listing.
Can I rely on ELIZABETH MCLEOD being an active provider?
As of the registry snapshot, ELIZABETH MCLEOD is marked active.
What is ELIZABETH MCLEOD's primary classification?
Community/Behavioral Health Agency is the headline specialty for ELIZABETH MCLEOD here. Clinical services aligned with this taxonomy classification.
What address line appears for ELIZABETH MCLEOD?
ELIZABETH MCLEOD's geographic hint is Mcminnville, Oregon in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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