Kebede Counseling, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

KEBEDE COUNSELING, LLC

Practice address

5416 N Vancouver Ave
Portland, OR 97217-2734

Phone

(503) 482-8270

NPI assigned

Sep 8, 2021

Organization subpart

No

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

Authorized official

Name

Kevin Kebede-Berhanu, LMFTNPI 1982898821

Title

Member

Phone

(503) 901-9248

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Kebede-Berhanu, M.ED., MFT

  • Marriage & Family Therapist
  • Portland, OR
  • NPI 1982898821
  Medicare reassignment NPD Authorized official
• Timothy Gazdziak, LPC

  • Mental Health Counselor
  • Gresham, OR
  • NPI 1083814677
  Medicare reassignment

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1487323911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9914 SE NANCY CT",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970867259",
            "telephone_number": "503-901-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5416 N VANCOUVER AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972172734",
            "telephone_number": "503-482-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEBEDE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "KEBEDE-BERHANU",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-901-9248",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Keating, MA, LPC
• Kathryn Keating
• Piper Keating, LMT
• Kaleb Keaton
• Sheila Athena Keaton, M.S.W., CSWA, CADC 1
• Kevin Kebede-Berhanu, M.ED., MFT
• Sydney Kebel
• Avery W Kechter
• Asha Keck
• Sonya Kristina Kedzior, PHARMD

• Marriage & Family Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.