Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

BROOKLYN KASSEBAUM
NPI 1710808399
Counselor - Professional in Wilsonville, OR

Active since July 21, 2026
28925 SW BOBERG RD, WILSONVILLE, OR 97070(503) 395-0152 Get Directions Write a Review

NPPES record added: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brooklyn Kassebaum NPPES

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

BROOKLYN KASSEBAUM (NPI 1710808399) is an individual professional provider in Wilsonville, Oregon, licensed in Oregon (R9458) and active in the NPI registry since July 2026. She maintains a secondary practice location in Vancouver.

NPPES Registry Identity

NPI1710808399
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameBROOKLYN KASSEBAUM
Location Address28925 SW BOBERG RDWilsonville, OR 97070-8218
Mailing Address28925 Sw Boberg RdWilsonville, OR 97070-8218 · (503) 395-0152
Sole ProprietorNo
Enumeration DateJuly 21, 2026
NPPES CertifiedJuly 21, 2026
NPI 1710808399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OR · R9458
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
28925 SW BOBERG RD, Wilsonville, OR 97070

Secondary Practice Location 1

Location 111105 NE 14th St Ste 103Vancouver, WA 98684-4309 · Phone (503) 395-0152

Other Providers at the Same Location NPPES 8

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

Counselor
28925 SW BOBERG RD
WILSONVILLE, OR 97070
Counselor (Professional)
28925 SW BOBERG RD
WILSONVILLE, OR 97070
Psychologist
28925 SW BOBERG RD
WILSONVILLE, OR 97070
Counselor (Professional)
28925 SW BOBERG RD
WILSONVILLE, OR 97070
Clinic/Center (Mental Health (Including Community Mental Health Center))
28925 SW BOBERG RD
WILSONVILLE, OR 97070
Counselor (Mental Health)
28925 SW BOBERG RD
WILSONVILLE, OR 97070
Counselor (Mental Health)
28925 SW BOBERG RD
WILSONVILLE, OR 97070
Counselor (Mental Health)
28925 SW BOBERG RD
WILSONVILLE, OR 97070

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 Brooklyn Kassebaum's NPI number?

The NPI number for Brooklyn Kassebaum is 1710808399. It was assigned to this individual provider in the NPPES registry on July 21, 2026.

Where is Brooklyn Kassebaum located?

Brooklyn Kassebaum practices at 28925 SW Boberg Rd, Wilsonville, OR 97070. The listed phone number is (503) 395-0152.

What is Brooklyn Kassebaum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Brooklyn Kassebaum was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.