Individual provider Active NPI

Jenna N Ochoa, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1366989832
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L7502 Issued in OR
Practice address
16764 NW Trillium St
Portland, OR 97229-1658
Phone
(503) 255-2186
NPI assigned
Jan 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW61301661 WA
Clinical Social Worker 1041C0700X L7502 OR Primary

Addresses

Primary practice location

16764 NW Trillium St
Portland, OR 97229-1658

Mailing address

16764 NW Trillium St
Portland, OR 97229-1658
Phone (503) 255-2186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190114002162 OR Practitioner - Clinical Social Worker 6608112560 Reassigns benefits to 1 organization
I20220510002032 WA Practitioner - Clinical Social Worker 6608112560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Recovery TMS PLLCGroup PAC ID 9032528047, 7 clinicians

Practice addresses (Care Compare)

11850 SW 67TH Ave
Suite 105
Tigard, OR 97223-8963
Phone (503) 836-5014

1499 SE Tech Ctr PL
Suite 170
Vancouver, WA 98683-5529
Phone (503) 647-6456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW61301661WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Active Recovery TMS PLLC CurrentSince Mar 1, 2022 Accepting new patients
Hearth and Shield Counseling LLC Current Accepting new patients
TMS Physician Services, P.C. Past Accepting new patients

Locations

10151 SE Sunnyside Rd
Ste 380
Clackamas, OR 97015
Phone (503) 610-6563

10151 SE Sunnyside Rd
Ste 360
Clackamas, OR 97015
Phone (206) 210-1198

2701 NW Vaughn St
Ste 470
Portland, OR 97210
Phone (503) 719-4648

2525 12th St SE
Ste 210
Salem, OR 97302
Phone (503) 610-6563

11850 SW 67th Ave
Ste 130
Tigard, OR 97223
Phone (503) 647-6456

11850 SW 67th Ave
Ste 105
Tigard, OR 97223
Phone (503) 647-6456

4020 Lk Wa Blvd NE
Ste 210
Kirkland, WA 98033
Phone (203) 210-1198

1499 SE Tech Center Pl
Ste 170
Vancouver, WA 98683
Phone (503) 494-6461

Organizations & group practices 3

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": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1366989832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16764 NW TRILLIUM ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972291658",
            "telephone_number": "503-255-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16764 NW TRILLIUM ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972291658",
            "telephone_number": "503-255-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCHOA",
        "first_name": "JENNA",
        "middle_name": "N",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61301661",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.