Individual provider Active NPI

River Carole Marie-Jeanne Delogu-Clark

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1881278505
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2250 NW Flanders St Ste 201
Portland, OR 97210-5410
Phone
(503) 427-1952
NPI assigned
May 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2250 NW Flanders St Ste 201
Portland, OR 97210-5410

Mailing address

11720 SE Alder St
Portland, OR 97216-3868
Phone (503) 383-1309

Other practice location 1

11720 SE Alder St
Portland, OR 97216-3868
Phone (503) 383-1309

Other names 1

  • River Carole Marie-Jeanne Delogu-Clark Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 10, 2026 through Mar 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Connections First, LLC CurrentSince May 25, 2025 Accepting new patients
Caravan Counseling - Psychotherapy, LLC CurrentSince May 1, 2022 Accepting new patients

Locations

2250 NW Flanders St
Ste 201
Portland, OR 97210
Phone (503) 427-1952

Organizations & group practices 2

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": "1620518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1881278505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11720 SE ALDER ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972163868",
            "telephone_number": "503-383-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 NW FLANDERS ST STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105410",
            "telephone_number": "503-427-1952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11720 SE Alder St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972163868",
            "country_code": "US",
            "telephone_number": "503-383-1309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELOGU-CLARK",
        "first_name": "RIVER",
        "middle_name": "CAROLE MARIE-JEANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-09",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RIVER",
            "last_name": "DELOGU-CLARK",
            "middle_name": "CAROLE MARIE-JEANNE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.