Active NPI
Jessica Buice
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1245909787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2580 SE Ankeny St Apt 507
Portland, OR 97214-2373 - Phone
- (912) 661-0418
- NPI assigned
- Sep 8, 2021
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2580 SE Ankeny St Apt 507
Portland, OR 97214-2373
Mailing address
1020 SE 7TH Ave Unit 14275
Portland, OR 97293-0818
Other practice location 1
8305 SE Monterey Ave Ste 111
Happy Valley, OR 97086-7753
Phone (503) 303-4437
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youth Villages | Past | Accepting new patients | |
| Youth Villages | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Lake Oswego, OR
- NPI 1740729490
-
- Adolescent and Children Mental Health Clinic/Center
- Lake Oswego, OR
- NPI 1992243992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1245909787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 SE 7TH AVE UNIT 14275",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972930818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2580 SE ANKENY ST APT 507",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972142373",
"telephone_number": "912-661-0418"
}
],
"practiceLocations": [
{
"address_1": "8305 SE Monterey Ave Ste 111",
"address_purpose": "LOCATION",
"city": "Happy Valley",
"state": "OR",
"postal_code": "970867753",
"country_code": "US",
"telephone_number": "503-303-4437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUICE",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-08",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"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 20, 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.