Active NPI
Devin Christopher Jones, MS, LPC
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1871089607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C5604
- Practice address
- 4905 SW Scholls Ferry Rd
Portland, OR 97225-1605 - Phone
- (503) 914-8828
- Fax
- (503) 297-3887
- NPI assigned
- Jul 4, 2018
- 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 | C5604 | OR | Primary |
Addresses
Primary practice location
4905 SW Scholls Ferry Rd
Portland, OR 97225-1605
Mailing address
4905 SW Scholls Ferry Rd
Portland, OR 97225-1605
Phone (503) 914-8828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C5604 | Other | OR | OREGON BOARD OF LICENSED PROFESSIONAL COUNSELORS AND THERAPISTS |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5604 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592784000000",
"number": "1871089607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4905 SW SCHOLLS FERRY RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972251605",
"telephone_number": "503-914-8828",
"fax_number": "503-297-3887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4905 SW SCHOLLS FERRY RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972251605",
"telephone_number": "503-914-8828",
"fax_number": "503-297-3887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "DEVIN",
"middle_name": "CHRISTOPHER",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-04",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C5604",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON BOARD OF LICENSED PROFESSIONAL COUNSELORS AND THERAPISTS",
"identifier": "C5604",
"state": "OR"
}
],
"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 Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.