Kestley Sumiko Sasaki

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R8688 Issued in OR

Practice address

8383 NE Sandy Blvd Ste 205
Portland, OR 97220-4967

Phone

(503) 253-0964

NPI assigned

Jun 14, 2022

Last updated

Dec 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Northwest Catholic Counseling Center

  • Mental Health Counselor
  • Portland, OR
  • NPI 1619091279
  NPD
• Columbiacare Services

  • Psychiatric Residential Treatment Facility
  • Portland, OR
  • NPI 1386720142
  NPD (past)
• Columbiacare Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, OR
  • NPI 1982140588
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1174253926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11687 SW TEAL BLVD APT G",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970078251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8383 NE SANDY BLVD STE 205",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204967",
            "telephone_number": "503-253-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASAKI",
        "first_name": "KESTLEY",
        "middle_name": "SUMIKO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R8688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatu Saryon
• Brianna Sas-Ciampoli, DACM
• Jodi Sasadeusz, PT
• Kevin J Sasadeusz, M.D.
• Anna Webers Sasaki, MD, PHD
• Bradley James Sasao-Ruef, LAC
• Eizaburo Sasatomi, MD
• Sasha Melendez
• Randy Louis Sasich, M.D
• Saskia Hostetler Lippy, MD, LLC

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.