Individual provider Active NPI

Kacie Lynn Maplethorpe, LPC, LMHC, MA

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1588289771
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C9805 Issued in OR
Practice address
1500 NE Irving St Ste 440
Portland, OR 97232-4208
Phone
(541) 517-9733
NPI assigned
Jun 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 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 C9805 OR Primary
Mental Health Counselor 101YM0800X LH61500615 WA

Addresses

Primary practice location

1500 NE Irving St Ste 440
Portland, OR 97232-4208

Mailing address

1551 Pearl St
Eugene, OR 97401-4010
Phone (541) 517-9733

Other names 1

  • Kacie Lynn Hale Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240226001890 WA Practitioner - Mental Health Counselor 6204271646 Reassigns benefits to 1 organization
I20250512002934 OR Practitioner - Mental Health Counselor 6204271646 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Counseling & Consultation, Inc. CurrentSince May 1, 2025 Accepting new patients
Columbia River Mental Health Services CurrentSince Jan 14, 2024 Accepting new patients
Portland Neurofeedback, LLC Mental Health PastSince Jul 4, 2021 Accepting new patients

Locations

1551 Pearl St
Eugene, OR 97401
Phone (541) 517-9733

1500 NE Irving St
Ste 440
Portland, OR 97232
Phone (541) 517-9733

6018 SE Stark St
Portland, OR 97215
Phone (503) 208-6667

6926 NE Fourth Plain Blvd
Vancouver, WA 98661
Phone (360) 695-3416

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1588289771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 PEARL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014010",
            "telephone_number": "541-517-9733",
            "fax_number": "888-971-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NE IRVING ST STE 440",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972324208",
            "telephone_number": "541-517-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAPLETHORPE",
        "first_name": "KACIE",
        "middle_name": "LYNN",
        "credential": "LPC, LMHC, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C9805",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61500615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KACIE",
            "last_name": "HALE",
            "middle_name": "LYNN",
            "credential": "LMHC, MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.