Active NPI
Jennifer Weiss
- Professional Counselor
- Portland, OR
National Provider Identifier
1174403299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- R9820
- Practice address
- 5441 S Macadam Ave Ste R
Portland, OR 97239-3822 - Phone
- (458) 313-0616
- NPI assigned
- Sep 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | R9820 | OR | Primary |
Addresses
Primary practice location
5441 S Macadam Ave Ste R
Portland, OR 97239-3822
Mailing address
5441 S Macadam Ave Ste R
Portland, OR 97239-3822
Phone (458) 313-0616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1174403299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5441 S MACADAM AVE STE R",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393822",
"telephone_number": "458-313-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5441 S MACADAM AVE STE R",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393822",
"telephone_number": "458-313-0616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-08",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "R9820",
"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 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.