Active NPI
Jeremy Whiston, MA
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1710707575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- R9845
- Practice address
- 333 SW Taylor St Ste 200
Portland, OR 97204-2446 - Phone
- (503) 484-5068
- NPI assigned
- Oct 15, 2024
- Last updated
- Oct 15, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | R9845 | OR | Primary |
Addresses
Primary practice location
333 SW Taylor St Ste 200
Portland, OR 97204-2446
Mailing address
1409 NE Hancock St Apt 8
Portland, OR 97212-4480
Phone (971) 255-3272
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9845 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pluto Mental Health LLC | Mental Health | Current | 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, 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": "1728950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1710707575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 NE HANCOCK ST APT 8",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972124480",
"telephone_number": "971-255-3272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 SW TAYLOR ST STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972042446",
"telephone_number": "503-484-5068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHISTON",
"first_name": "JEREMY",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-15",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "R9845",
"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 Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.