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

Jeramy Disenso, MA, LPCINTERN

Individual provider Counselor · NPI 1588228720

Jeramy Disenso, MA, LPCINTERN is a Counselor in Salem, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2019
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

See every abbreviation used in this directory →

Practice location Address checks out

270 Cottage St NE
Salem, OR 97301
Phone: (503) 409-4869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 270 Cottage St Ne, Salem, OR 97301 — (503) 409-4869

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X (OR)

Record details

NPI number1588228720
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LPCINTERN
Sole proprietorYes
NPI enumeratedApril 23, 2019
Last updated in NPPESApril 23, 2019
Mailing address1458 Palace Dr Ne, Salem, OR 97301-3134

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