Active NPI
Jeniffer Duncan, LPC, ATR, CADC I
- Professional Counselor
- Portland, OR
National Provider Identifier
1114211430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C3022
- Practice address
- 4207 SE Woodstock Blvd # 398
Portland, OR 97206-6267 - Phone
- (503) 974-4140
- NPI assigned
- Jun 3, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C3022 | OR | Primary |
Addresses
Primary practice location
4207 SE Woodstock Blvd # 398
Portland, OR 97206-6267
Mailing address
5207 SE Woodstock Blvd
398
Portland, OR 97206
Phone (503) 974-4140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 10, 2024 through Jan 10, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100313 | OR | MD | Addiction (Substance Use Disorder) Counselor |
| C3022 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1114211430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5207 SE WOODSTOCK BLVD",
"address_2": "398",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97206",
"telephone_number": "503-974-4140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4207 SE WOODSTOCK BLVD # 398",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972066267",
"telephone_number": "503-974-4140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "JENIFFER",
"name_prefix": "Ms.",
"credential": "LPC, ATR, CADC I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-03",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C3022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.