1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Peer Specialist
  6. NPI Profile

MICAH DI SIMONE
NPI 1518568476
Peer Specialist in Portland, OR

Active since November 05, 2020
3036 NE MLK JR BLVD, PORTLAND, OR 97212(503) 283-3763 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 29, 2022, Nov 5, 2020 (2 updates tracked since 2020).

About Micah Di Simone NPPES

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

MICAH DI SIMONE (NPI 1518568476) is an individual peer specialist in Portland, Oregon and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1518568476
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMICAH DI SIMONE
Location Address3036 NE MLK JR BLVDPortland, OR 97212-3053
Mailing AddressPo Box 8459Portland, OR 97207-8459
Phone(503) 283-3763
Sole ProprietorNo
Enumeration DateNovember 5, 2020
Last NPPES UpdateSeptember 29, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2022
✔ NPI 1518568476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCounselorTaxonomy 101Y00000X
3036 NE MLK JR BLVD, Portland, OR 97212
Open in Google Maps ↗

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.

ASHLEY BARDALES
Peer Specialist
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
JENIFER PREVOST
Peer Specialist
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
ANNDREA GLADYS VAUGHN
Case Manager/Care Coordinator
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 889-2500
JESSICA SHIRLEY CUSHMAN
Case Manager/Care Coordinator
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
MS. JUNIPER ELIZABETH WAGNER
Counselor (Mental Health)
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
BENJAMIN MICHAEL DAVIDSON
Student in an Organized Health Care Education/Training Program
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
MADELEINE ROSE POTTER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
PHILIP JOHN MAGGI
Counselor (Addiction (Substance Use Disorder))
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763

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 Micah Di Simone's NPI number?

The NPI number for Micah Di Simone is 1518568476. It was assigned to this individual provider in the NPPES registry on November 5, 2020.

Where is Micah Di Simone located?

Micah Di Simone practices at 3036 NE Mlk Jr Blvd, Portland, OR 97212. The listed phone number is (503) 283-3763.

What is Micah Di Simone's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Micah Di Simone was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.