Organization Active NPI

Desert Rose Counseling, LLC

  • Professional Counselor
  • Portland, OR
National Provider Identifier
1336024496
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Abigail Bullock, LPCNPI 1821670670
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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
500873529MedicaidOR
1821670670OtherORNPI TYPE 1
500792702MedicaidOR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.