Active NPI
Jesse Muir
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1336730266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- R12232
- Practice address
- 1500 NE Irving St Ste 210
Portland, OR 97232-2243 - Phone
- (425) 477-4215
- NPI assigned
- Feb 2, 2021
- Sex
- Male
- 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 | R12232 | OR | Primary |
Addresses
Primary practice location
1500 NE Irving St Ste 210
Portland, OR 97232-2243
Mailing address
5441 S Macadam Ave Ste R
Portland, OR 97239-3822
Phone (971) 246-7652
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Salem | Direct |
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 |
|---|---|---|---|
| R12232 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Therapy Group PC | Mental Health | Current | Accepting new patients |
Locations
1500 NE Irving St
Ste 210
Portland, OR 97232
Phone (425) 477-4215
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763510400000",
"number": "1336730266",
"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": "971-246-7652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 NE IRVING ST STE 210",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322243",
"telephone_number": "425-477-4215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUIR",
"first_name": "JESSE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-02",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "R12232",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Salem",
"affiliation": "N",
"endpointDescription": "Empowering Choices Office",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "147 Commercial St NE Ste 15",
"city": "Salem",
"state": "OR",
"country_code": "US",
"postal_code": "973013418",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.