Active NPI
Desert Rose Counseling, LLC
- Professional Counselor
- Portland, OR
National Provider Identifier
1336024496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- DESERT ROSE COUNSELING, LLC
- Practice address
- 4531 SE Belmont St Ste 317
Portland, OR 97215-1693 - Phone
- (503) 389-0030
- NPI assigned
- Aug 7, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abigail Bullock, LPC
- Title
- Owner
- Phone
- (503) 319-4782
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
4531 SE Belmont St Ste 317
Portland, OR 97215-1693
Mailing address
4531 SE Belmont St Ste 317
Portland, OR 97215-1693
Phone (503) 389-0030
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500873529 | Medicaid | OR | |
| 1821670670 | Other | OR | NPI TYPE 1 |
| 500792702 | Medicaid | OR |
National Provider Directory
National Provider DirectoryLocations
4531 SE Belmont St
Ste 317
Portland, OR 97215
Phone (503) 389-0030
1942 NW Kearney St
Portland, OR 97209
Phone (503) 225-1177
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780444800000",
"number": "1336024496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4531 SE BELMONT ST STE 317",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972151693",
"telephone_number": "503-389-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4531 SE BELMONT ST STE 317",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972151693",
"telephone_number": "503-389-0030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESERT ROSE COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-07",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A",
"authorized_official_last_name": "BULLOCK",
"authorized_official_first_name": "ABIGAIL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-319-4782",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500873529",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE 1",
"identifier": "1821670670",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500792702",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.