Individual provider Active NPI

Kristine Nicholle Zappa

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1508471442
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C7331 Issued in OR
Practice address
2632 SE 25TH Ave Ste J
Portland, OR 97202-1285
Phone
(612) 208-8186
NPI assigned
Sep 8, 2020
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2869 MN
Mental Health Counselor 101YM0800X C7331 OR Primary

Addresses

Primary practice location

2632 SE 25TH Ave Ste J
Portland, OR 97202-1285

Mailing address

5020 NE 47TH PL
Portland, OR 97218-2000
Phone (612) 208-8186

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

State licenses

LicenseStateTypeSpecialty
C7331ORMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1508471442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 NE 47TH PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972182000",
            "telephone_number": "612-208-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 SE 25TH AVE STE J",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021285",
            "telephone_number": "612-208-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAPPA",
        "first_name": "KRISTINE",
        "middle_name": "NICHOLLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "2869",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C7331",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 21, 2025; 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.