Individual provider Active NPI

Ghesline Marie Depedro

  • Mental Health Counselor
  • Sherwood, OR
National Provider Identifier
1578184636
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C11176 Issued in OR
Practice address
15633 SW Thrasher Way
Sherwood, OR 97140-8904
Phone
(808) 765-4389
NPI assigned
Apr 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C11176 OR Primary

Addresses

Primary practice location

15633 SW Thrasher Way
Sherwood, OR 97140-8904

Mailing address

15633 SW Thrasher Way
Sherwood, OR 97140-8904
Phone (808) 765-4389

Other names 1

  • Ghesline Hewitt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240820004021 OR Practitioner - Mental Health Counselor 2769920842 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C11176ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Therapy Group PC Mental Health CurrentSince Jan 28, 2026 Accepting new patients

Locations

5440 SW Westgate Dr
Ste 350
Portland, OR 97221
Phone (503) 292-1100

11740 SW 68th Pkwy
Ste 200
Tigard, OR 97223
Phone (425) 477-4216

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1578184636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15633 SW THRASHER WAY",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971408904",
            "telephone_number": "808-765-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15633 SW THRASHER WAY",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971408904",
            "telephone_number": "808-765-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPEDRO",
        "first_name": "GHESLINE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C11176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GHESLINE",
            "last_name": "HEWITT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sherwood, OR

Sources for this page

Verify at the official NPI Registry.