Organization Active NPI

Counseling Corner LLC

  • Marriage & Family Therapist
  • Portland, OR
National Provider Identifier
1477293918
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
COUNSELING CORNER LLC
Practice address
7393 SE 118TH Dr
Portland, OR 97266-4929
Phone
(971) 381-2769
NPI assigned
Mar 31, 2022
Last updated
Jul 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Jedidiah SmithNPI 1013471465
Title
Owner
Phone
(971) 381-2769

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

7393 SE 118TH Dr
Portland, OR 97266-4929

Mailing address

7393 SE 118TH Dr
Portland, OR 97266-4929

Other names 1

  • Counseling Corner LLC Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://counseling-corner.clientsecure.me

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250515000839 OR Part B Supplier - Clinic/Group Practice 1759809619 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1477293918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7393 SE 118TH DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972664929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7393 SE 118TH DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972664929",
            "telephone_number": "971-381-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CORNER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JEDIDIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-381-2769"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://counseling-corner.clientsecure.me",
            "affiliation": "N",
            "address_1": "7393 SE 118th Dr",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972664929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Counseling Corner LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Counseling Corner LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.