Individual provider Active NPI

Jennifer M McDonald

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1265172761
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
12909 SW 68TH Pkwy Ste 100
Portland, OR 97223-8389
Phone
(971) 213-5025
Fax
(971) 228-5431
NPI assigned
Mar 31, 2022
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Marriage & Family Therapist 106H00000X T3201 OR

Addresses

Primary practice location

12909 SW 68TH Pkwy Ste 100
Portland, OR 97223-8389

Mailing address

609 NE Baker St Ste 260
McMinnville, OR 97128-4950
Phone (303) 478-3668

Other practice location 1

420 NE 5th St
McMinnville, OR 97128-4603
Phone (303) 478-3668

Other practice location 2

609 NE Baker St Ste 260
McMinnville, OR 97128-4950
Phone (971) 213-5025

Other practice location 3

609 NE Baker St Ste 280
McMinnville, OR 97128-4958
Phone (971) 213-5025

Other practice location 4

7175 SW Beveland Rd Ste 200
Portland, OR 97223-8665
Phone (971) 402-9066

Other identifiers 1

IdentifierTypeStateIssuer
500806253MedicaidOR

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
I20251224000832 OR Practitioner - Marriage and Family Therapist 5890280002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

609 NE Baker St
Suite 260
McMinnville, OR 97128-4950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T3201ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fir Counseling, LLC Mental Health CurrentSince Oct 1, 2025 Accepting new patients

Locations

609 NE Baker St
Ste 260
McMinnville, OR 97128
Phone (971) 213-5025

609 NE Baker St
Ste 280
McMinnville, OR 97128
Phone (503) 435-4840

12909 SW 68th Pkwy
Ste 100
Portland, OR 97223
Phone (971) 213-5025

7175 SW Beveland Rd
Ste 200
Tigard, OR 97223
Phone (503) 395-5122

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": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1265172761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 NE BAKER ST STE 260",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284950",
            "telephone_number": "303-478-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12909 SW 68TH PKWY STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238389",
            "telephone_number": "971-213-5025",
            "fax_number": "971-228-5431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 NE 5th St",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "OR",
            "postal_code": "971284603",
            "country_code": "US",
            "telephone_number": "303-478-3668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 NE Baker St Ste 260",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "OR",
            "postal_code": "971284950",
            "country_code": "US",
            "telephone_number": "971-213-5025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 NE Baker St Ste 280",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "OR",
            "postal_code": "971284958",
            "country_code": "US",
            "telephone_number": "971-213-5025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7175 SW Beveland Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972238665",
            "country_code": "US",
            "telephone_number": "971-402-9066",
            "fax_number": "971-228-5431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T3201",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500806253",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.