Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaimes De Legacy, PWSMH/A, CHW, CRM2

Individual provider Mental Health Counselor · NPI 1134828981

Jaimes De Legacy, PWSMH/A, CHW, CRM2 is a Mental Health Counselor in Milwaukie, Oregon. Licensed in Oregon. Registered with an NPI since 2023.

Licensed in
OR
In the registry since
2023
Specialties on file
3

Practice location Address checks out

10202 SE 32nd Ave Ste 701
Milwaukie, OR 97222-3625
Phone: (541) 233-8651
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (OR)
Mental Health Counselor Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1134828981
Entity typeIndividual (Type 1)
GenderMale
Credentials PWSMH/A , CHW , CRM2
Sole proprietorNo
NPI enumeratedMarch 1, 2023
Last updated in NPPESFebruary 18, 2026
Certification dateFebruary 18, 2026

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