Provider Demographics
NPI:1154732311
Name:JOFFE, KASEY STELLA (LPC)
Entity type:Individual
Prefix:MRS
First Name:KASEY
Middle Name:STELLA
Last Name:JOFFE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KASEY
Other - Middle Name:KIRSTIN
Other - Last Name:CATHEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:205 SE SPOKANE ST STE 301B
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-6487
Mailing Address - Country:US
Mailing Address - Phone:503-728-8224
Mailing Address - Fax:503-821-7785
Practice Address - Street 1:205 SE SPOKANE ST STE 301B
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-6487
Practice Address - Country:US
Practice Address - Phone:503-728-8224
Practice Address - Fax:503-821-7785
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-09
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
ORR5990106H00000X
ORC6642101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist