Jennifer L Blair, QMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3880 SE 8TH Ave Ste 180
Portland, OR 97202-3774

Phone

(503) 545-6798

NPI assigned

Nov 23, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1574467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1568008654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 SE 8TH AVE STE 180",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023774",
            "telephone_number": "503-545-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 SE 8TH AVE STE 180",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023774",
            "telephone_number": "503-545-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-23",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500774145",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Patrick Blaine, MD, MPH
• Andromeda Desa Blair
• Anthony Ronald Blair, LPCA
• Jacob R Blair, MD
• Jeffrey Russell Blair Jr., DO
• Ryan R. Blair, D.M.D
• Shannon S Blair, MD
• Tyler Christopher Blair, B.S.
• Blake Locher Counseling, LLC
• Anthony Michael Blake

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.