Active NPI
Mindfulness Counseling LLC
- Mental Health Counselor
- Beaverton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MINDFULNESS COUNSELING LLC
- Practice address
- 10700 SW Beaverton Hillsdale Hwy Ste 560
Beaverton, OR 97005-4791 - Phone
- (503) 208-6511
- NPI assigned
- Apr 30, 2022
- Last updated
- Mar 15, 2023
- 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
- Kelly Kathleen Sestero, LPC, LMHC, NCC
- Title
- Owner, Therapist
- Phone
- (503) 208-6511
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X |
Addresses
Primary practice location
10700 SW Beaverton Hillsdale Hwy Ste 560
Beaverton, OR 97005-4791
Mailing address
12725 SW Millikan Way Ste 300
Beaverton, OR 97005-1687
Phone (503) 758-9185
National Provider Directory
National Provider DirectoryLocations
8152 SW Hall Blvd
#1067
Beaverton, OR 97008
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Beaverton, OR
- NPI 1457479644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678838400000",
"number": "1386389740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12725 SW MILLIKAN WAY STE 300",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970051687",
"telephone_number": "503-758-9185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10700 SW BEAVERTON HILLSDALE HWY STE 560",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970054791",
"telephone_number": "503-208-6511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFULNESS COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-30",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A",
"authorized_official_last_name": "SESTERO",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "KATHLEEN",
"authorized_official_title_or_position": "OWNER, THERAPIST",
"authorized_official_telephone_number": "503-208-6511",
"authorized_official_credential": "LPC, LMHC, NCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.