Active NPI
Jordan Grafton
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1851176903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- R10521
- Practice address
- 6400 SE Lake Rd Ste 250
Portland, OR 97222-2129 - Phone
- (541) 900-4285
- Fax
- (888) 810-2993
- NPI assigned
- Aug 28, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Mental Health Counselor | 101YM0800X | R10521 | OR | Primary |
Addresses
Primary practice location
6400 SE Lake Rd Ste 250
Portland, OR 97222-2129
Mailing address
3334 SE Hawthorne Blvd Apt 302
Portland, OR 97214-5060
Phone (916) 225-1257
Other practice location 1
5415 SW Westgate Dr
Portland, OR 97221-2409
Phone (503) 645-3581
Other names 1
- Joey Grafton
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 |
|---|---|---|---|
| R10521 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roseburg Therapy LLC | Mental Health | 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.
-
- Mental Health Counselor
- Roseburg, OR
- NPI 1538665013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1851176903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3334 SE HAWTHORNE BLVD APT 302",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972145060",
"telephone_number": "916-225-1257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 SE LAKE RD STE 250",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972222129",
"telephone_number": "541-900-4285",
"fax_number": "888-810-2993"
}
],
"practiceLocations": [
{
"address_1": "5415 SW Westgate Dr",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972212409",
"country_code": "US",
"telephone_number": "503-645-3581",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAFTON",
"first_name": "JORDAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-28",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "R10521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOEY",
"last_name": "GRAFTON",
"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 Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.