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

Otoniel Calderon

Individual provider Mental Health Counselor · NPI 1255794848

Otoniel Calderon is a Mental Health Counselor in Redmond, Oregon. Qualified in 2013, 13 years ago. Works from 2 locations. Licensed in Oregon.

Years since qualifying
13
Licensed in
OR
In the registry since
2016
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7515 Falcon Crest Dr # 200
Redmond, OR 97756-5014
Phone: (904) 541-5216
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 4585 Sw 185th Ave, Aloha, OR 97078-1557 — (503) 591-9280

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C10144 (OR)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1255794848
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2016
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025
Mailing address7515 Falcon Crest Dr # 200, Redmond, OR 97756-5014

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Redmond