Active NPI
Jenette Mundlin, LPC, NCC, CRC
- Mental Health Counselor
- Gresham, OR
National Provider Identifier
1306560248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C11381
- Practice address
- 915 NE 2ND St
Gresham, OR 97030-7512 - Phone
- (971) 373-6486
- NPI assigned
- Oct 3, 2022
- Last updated
- Mar 19, 2026
- 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 | C11381 | OR | Primary |
Addresses
Primary practice location
915 NE 2ND St
Gresham, OR 97030-7512
Mailing address
PO Box 955
Gresham, OR 97030-0210
Phone (971) 737-6486
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C11381 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Take the Reins Counseling and Consulting, LLC | Mental Health | Current | Accepting new patients |
Locations
915 NE 2nd St
Gresham, OR 97030
Phone (503) 558-4977
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.
-
- Mental Health Counselor
- Gresham, OR
- NPI 1770430431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1306560248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 955",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970300210",
"telephone_number": "971-737-6486",
"fax_number": "503-661-1033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 NE 2ND ST",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970307512",
"telephone_number": "971-373-6486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNDLIN",
"first_name": "JENETTE",
"credential": "LPC, NCC, CRC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-03",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C11381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gresham, OR
- Multnomah County
- Multnomah County
- Multnomah County Oregon (East County Health Services Pharmacy)
- Multnomah County School District #U2-20JT (Gresham Barlow School District EI/ECSE)
- Ejegayehu Muluneh
- Ana Colombia Munoz Romero
- Dezerre Munoz, EFFA
- Mason Munson, OTD, OTR/L
- Christina Murhpy, MT
- Bridget Mary Murray, QMHA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.