Karissa Michelle Tongue, QMHA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

16055 Southwest Walker Road
443
Beaverton, OR 97006

Phone

(503) 828-3402

Fax

(503) 828-3401

NPI assigned

Oct 25, 2011

Last updated

Mar 27, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Wolf Pack Consulting and Therapeutic Services LLC

  • Mental Health Counselor
  • Beaverton, OR
  • NPI 1336677988
  NPD Authorized official

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1295011096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14355 SW ALLEN BLVD STE 150",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054741",
            "telephone_number": "503-828-3402",
            "fax_number": "503-828-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055 SOUTHWEST WALKER ROAD",
            "address_2": "443",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97006",
            "telephone_number": "503-828-3402",
            "fax_number": "503-828-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONGUE",
        "first_name": "KARISSA",
        "middle_name": "MICHELLE",
        "credential": "QMHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500708243",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheryl Ann Tomas
• Skylar Tomchek
• Joseph Tomlinson
• Amy Kristine Tondreau
• Cesareo Amadeo Urbano Tongco II, M.D.
• Gabrielle Rose Tor
• Edmund Howard Torkelson, D.O.
• Osvaldo Torres Torres
• Debra Roberts Torres-Reyes
• Agustin Torres

• Mental Health Counselor in Beaverton, OR
• Providers in Beaverton, 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 Mar 27, 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.