Individual provider Active NPI

Jessie Aisha Kaleikau, MA

  • Mental Health Counselor
  • Tualatin, OR
National Provider Identifier
1306484126
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
85-1546935 Issued in OR
Practice address
19365 SW 65TH Ave Ste 105
Tualatin, OR 97062-9196
Phone
(971) 208-5765
Fax
(971) 979-1079
NPI assigned
Dec 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 85-1546935 OR Primary

Addresses

Primary practice location

19365 SW 65TH Ave Ste 105
Tualatin, OR 97062-9196

Mailing address

19365 SW 65TH Ave Ste 105
Tualatin, OR 97062-9196
Phone (971) 208-5765

Other practice location 1

2026 Eagle Street
Metlakatla, AK 99926
Phone (971) 208-5765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
85-1546935ORMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1306484126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19365 SW 65TH AVE STE 105",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629196",
            "telephone_number": "971-208-5765",
            "fax_number": "971-979-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19365 SW 65TH AVE STE 105",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629196",
            "telephone_number": "971-208-5765",
            "fax_number": "971-979-1079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2026 Eagle Street",
            "address_purpose": "LOCATION",
            "city": "Metlakatla",
            "state": "AK",
            "postal_code": "99926",
            "country_code": "US",
            "telephone_number": "971-208-5765",
            "fax_number": "971-979-1079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALEIKAU",
        "first_name": "JESSIE",
        "middle_name": "AISHA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "85-1546935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.