Individual provider Active NPI

Mihretu Dessalegne

  • Professional Counselor
  • Clackamas, OR
National Provider Identifier
1962851212
Registry record updated Dec 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C8387 Issued in OR
Practice address
8800 SE Sunnyside Rd Ste 122S
Clackamas, OR 97015-5702
Phone
(971) 808-2686
Fax
(503) 214-8732
NPI assigned
Jun 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C8387 OR Primary

Addresses

Primary practice location

8800 SE Sunnyside Rd Ste 122S
Clackamas, OR 97015-5702

Mailing address

7320 SW Hunziker Rd Ste 204
Tigard, OR 97223-2301
Phone (971) 808-2686

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
C8387ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
His Mercy Our Hope Counseling LLC Current Accepting new patients
Oregon Directions, LLC Mental Health PastSince Mar 21, 2025 Accepting new patients
Life Discovery Counseling Services PastSince Jan 4, 2026 Accepting new patients

Locations

2355 State St
Ste 101
Salem, OR 97301
Phone (503) 383-9039

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": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766880000000",
    "number": "1962851212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 SW HUNZIKER RD STE 204",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232301",
            "telephone_number": "971-808-2686",
            "fax_number": "503-214-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 SE SUNNYSIDE RD STE 122S",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155702",
            "telephone_number": "971-808-2686",
            "fax_number": "503-214-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESSALEGNE",
        "first_name": "MIHRETU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2025-12-28",
        "certification_date": "2025-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C8387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.