Individual provider Active NPI

Jeshurun Gasper

  • Mental Health Counselor
  • Beaverton, OR
National Provider Identifier
1215511654
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C8777 Issued in OR
Practice address
4900 SW Griffith Dr Ste 157
Beaverton, OR 97005-2977
Phone
(503) 444-8230
Fax
(503) 295-4036
NPI assigned
May 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C8777 OR Primary

Addresses

Primary practice location

4900 SW Griffith Dr Ste 157
Beaverton, OR 97005-2977

Mailing address

4900 SW Griffith Dr Ste 157
Beaverton, OR 97005-2977
Phone (503) 444-8230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250925002724 OR Practitioner - Mental Health Counselor 1951806488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15235 Oneal Rd Apt
6E
Gulfport, MS 39503-3285

4900 SW Griffith Dr
Suite 157
Beaverton, OR 97005-2977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C8777ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Counseling Associates, LLC CurrentSince Sep 10, 2025 Accepting new patients

Locations

4900 SW Griffith Dr
Ste 157
Beaverton, OR 97005
Phone (503) 444-8230

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1215511654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 SW GRIFFITH DR STE 157",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052977",
            "telephone_number": "503-444-8230",
            "fax_number": "503-295-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 SW GRIFFITH DR STE 157",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052977",
            "telephone_number": "503-444-8230",
            "fax_number": "503-295-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASPER",
        "first_name": "JESHURUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C8777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.