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

Micah Di Simone

Individual provider Counselor · NPI 1518568476

Micah Di Simone is a Counselor in Portland, Oregon. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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Practice location Address checks out

3036 NE Mlk Jr Blvd
Portland, OR 97212-3053
Phone: (503) 283-3763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X
Counselor Taxonomy 101Y00000X

Record details

NPI number1518568476
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 5, 2020
Last updated in NPPESSeptember 29, 2022
Certification dateSeptember 29, 2022

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