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

MS. Lisette T Heidtke, LPC

Individual provider Counselor · NPI 1386155356

MS. Lisette T Heidtke, LPC is a Counselor in Portland, Oregon. Practices as a sole proprietor and works from 3 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2017
Specialties on file
4
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2120 NE 12th Ave
Portland, OR 97212-4306
Phone: (269) 598-5152
Fax: (208) 834-3164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 11458 Se McEachron Ave, Milwaukie, OR 97222-1264 — (503) 305-6296
  • 20025 Mossy Meadows Ave, Oregon City, OR 97045-7136 — (503) 496-0207

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C6716 (OR)
Counselor Taxonomy 101Y00000X · Licence C6716 (OR)
Mental Health Counselor Taxonomy 101YM0800X
Mental Health Counselor Taxonomy 101YM0800X · Licence C6716 (OR)

Record details

NPI number1386155356
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedOctober 18, 2017
Last updated in NPPESOctober 26, 2022
Certification dateOctober 26, 2022

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