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

Nirmani Tilakasena Saucedo, MA

Individual provider Professional Counselor · NPI 1710529714

Nirmani Tilakasena Saucedo, MA is a Mental Health Counselor in Portland, Oregon. Qualified in 2017, 9 years ago. Practices with Shoreline Counseling LLC, a 25-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
9
Licensed in
OR
In the registry since
2019
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

11035 NE Sandy Blvd
Portland, OR 97220-2553
Phone: (503) 258-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C7621 (OR)

Record details

NPI number1710529714
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedOctober 10, 2019
Last updated in NPPESOctober 19, 2023
Certification dateOctober 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Shoreline Counseling Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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