Active NPI
Jessie Aisha Kaleikau, MA
- Mental Health Counselor
- Tualatin, OR
National Provider Identifier
1306484126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 85-1546935
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 85-1546935 | OR | MD | Mental 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.