Kwabena Siaka

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

18QMHPC00019 Issued in OR

Practice address

2028 SE Marion St
Suite 11
Portland, OR 97202-7365

Phone

(503) 422-6021

NPI assigned

Jun 3, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Value Creation Educational and Counseling Services PDX LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, OR
  • NPI 1427545961
  NPD Authorized official

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1972983096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 N LOMBARD ST STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972175772",
            "telephone_number": "971-220-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 SE MARION ST",
            "address_2": "SUITE 11",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972027365",
            "telephone_number": "503-422-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIAKA",
        "first_name": "KWABENA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-03",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "21-02-30006",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "18QMHPC00019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica L Shuster, MD
• David Shute, MD
• Marn Vanessa Shweinfurth, DMD
• Alexander Shybut, CNA II
• Nadine Leavitt Siak
• David Matthew Sibell, M.D.
• Brynna Levin Sibilla, LCSW
• Dana William Sibilla, DC
• Cailin Henderson Sibley, M.D.
• Sibo Testing Center, LLC

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.