Active NPI
Jeff Kenneth Ortman, LMHC, LPC, CACD I
- Mental Health Counselor
- Vancouver, WA
National Provider Identifier
1548314073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60431060
- Practice address
- 6926 NE Fourth Plain Blvd
Vancouver, WA 98661-7254 - Phone
- (360) 993-3000
- NPI assigned
- Jan 22, 2007
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C3416 | OR | |
| Mental Health Counselor | 101YM0800X | C3416 | OR | |
| Professional Counselor | 101YP2500X | C3416 | OR | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Mental Health Counselor | 101YM0800X | LH60431060 | WA | Primary |
Addresses
Primary practice location
6926 NE Fourth Plain Blvd
Vancouver, WA 98661-7254
Mailing address
10500 SE 26TH Ave Apt G35
Milwaukie, OR 97222-9625
Phone (503) 442-8701
Other practice location 1
10564 SE Washington St
Portland, OR 97216-2809
Phone (503) 228-9229
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 |
|---|---|---|---|
| C3416 | OR | MD | Mental Health Counselor |
| LH60431060 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Volunteers of America Inc. | Past | Accepting new patients |
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.
-
- Contractor
- Portland, OR
- NPI 1376611418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521590400000",
"number": "1548314073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10500 SE 26TH AVE APT G35",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972229625",
"telephone_number": "503-442-8701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6926 NE FOURTH PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986617254",
"telephone_number": "360-993-3000"
}
],
"practiceLocations": [
{
"address_1": "10564 SE Washington St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972162809",
"country_code": "US",
"telephone_number": "503-228-9229",
"fax_number": "503-228-9229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORTMAN",
"first_name": "JEFF",
"middle_name": "KENNETH",
"credential": "LMHC, LPC, CACD I",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2018-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "C3416",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C3416",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C3416",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60431060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.