OrganizationActive
Kairospdx
NPI 1790507085 · Mental Health Counselor · Portland, OR
Provider details
- NPI number
- 1790507085
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Donald Jackson, Assistant Director - Mental Health(503) 567-9820
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4915 N Gantenbein Ave
Portland, OR 97217-2814
Phone: (503) 567-9820
Street-level locationGet directions
Mailing address
Po Box 12190
Portland, OR 97212-0190
Other names (DBA / former)
- Doing business as
- Kairospdx
Registry dates
- Enumerated
- 2024-10-28
- Last updated
- 2024-10-28
- Certified
- 2024-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.