Individual provider Active NPI

Jonnie McRae Vanderzanden, LPC

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1437133584
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C1017 Issued in OR
Practice address
10490 SW Eastridge St
#110C
Portland, OR 97225-5030
Phone
(503) 292-2780
Fax
(503) 292-2721
NPI assigned
Dec 2, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C1017 OR Primary

Addresses

Primary practice location

10490 SW Eastridge St
#110C
Portland, OR 97225-5030

Mailing address

10490 SW Eastridge St
#110C
Portland, OR 97225-5030
Phone (503) 292-2780

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

LicenseStateTypeSpecialty
C1017ORMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1437133584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10490 SW EASTRIDGE ST",
            "address_2": "#110C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255030",
            "telephone_number": "503-292-2780",
            "fax_number": "503-292-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10490 SW EASTRIDGE ST",
            "address_2": "#110C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255030",
            "telephone_number": "503-292-2780",
            "fax_number": "503-292-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERZANDEN",
        "first_name": "JONNIE",
        "middle_name": "MCRAE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C1017",
            "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 Jul 13, 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.

Verify at the official NPI Registry.