Individual provider Active NPI

Jordan Grafton

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1851176903
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R10521 Issued in OR
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

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
R10521ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Roseburg Therapy LLC Mental Health PastSince Aug 25, 2025 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.

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.

Verify at the official NPI Registry.