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JOE ZICK KESSELLY
NPI 1194339051
Counselor - Mental Health in Portland, OR

Active since September 08, 2020
12511 SE RAYMOND ST, PORTLAND, OR 97236(503) 761-2580(503) 761-2584 Get Directions Write a Review

NPPES record last updated: September 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joe Zick Kesselly NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOE ZICK KESSELLY (NPI 1194339051) is an individual mental health provider in Portland, Oregon and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1194339051
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOE ZICK KESSELLY
Location Address12511 SE RAYMOND STPortland, OR 97236-3931
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167
Phone(503) 761-2580
Fax(503) 761-2584
Sole ProprietorNo
Enumeration DateSeptember 8, 2020
NPPES CertifiedSeptember 8, 2020
✔ NPI 1194339051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
12511 SE RAYMOND ST, Portland, OR 97236
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELINA ELLA KING
Counselor (Mental Health)
12511 SE RAYMOND ST
PORTLAND, OR 97236
Multnomah County (503) 761-2580
ELIONA E DEAN
Counselor (Mental Health)
12511 SE RAYMOND ST
PORTLAND, OR 97236
Multnomah County (503) 761-2580
SHAUNTE D MYERS
Counselor (Mental Health)
12511 SE RAYMOND ST
PORTLAND, OR 97236
Multnomah County (503) 761-2580
JAZMIN AHSELN
Counselor (Mental Health)
12511 SE RAYMOND ST
PORTLAND, OR 97236
Multnomah County (503) 761-2580
RED K WILLIAMS
Counselor (Mental Health)
12511 SE RAYMOND ST
PORTLAND, OR 97236
Multnomah County (503) 761-2580
DESTINY TOPOLSKI
Counselor (Mental Health)
12511 SE RAYMOND ST
PORTLAND, OR 97236
Multnomah County (541) 858-8170
DALE SWEARINGEN
Counselor (Mental Health)
12511 SE RAYMOND ST
PORTLAND, OR 97236
Multnomah County (503) 761-2580
KATHERINE MCFARLIN
Counselor (Mental Health)
12511 SE RAYMOND ST
PORTLAND, OR 97236
Multnomah County (503) 761-2580

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joe Kesselly's NPI number?

The NPI number for Joe Kesselly is 1194339051. It was assigned to this individual provider in the NPPES registry on September 8, 2020.

Where is Joe Kesselly located?

Joe Kesselly practices at 12511 SE Raymond St, Portland, OR 97236. The listed phone number is (503) 761-2580.

What is Joe Kesselly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Joe Kesselly was last updated on September 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.