Individual provider Active NPI

Phillipa Courtnay Spencer Jagla

  • Marriage & Family Therapist
  • Portland, OR
National Provider Identifier
1881047520
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
90353 Issued in CA
Practice address
2525 SW First Ave Ste 1200
Portland, OR 97201-4762
Phone
(503) 494-4745
Fax
(503) 494-4747
NPI assigned
Jul 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 90353 CA Primary
Marriage & Family Therapist 106H00000X T1725 OR

Addresses

Primary practice location

2525 SW First Ave Ste 1200
Portland, OR 97201-4762

Mailing address

4 Touchstone Apt 70
Lake Oswego, OR 97035-1959
Phone (845) 248-4103

Other practice location 1

182 N Murphy Ave
Unit 9
Sunnyvale, CA 94086-5086
Phone (845) 248-4103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240112001211 OR Practitioner - Marriage and Family Therapist 2961853072 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Professional ServicesGroup PAC ID 4880760107, 1,683 clinicians

Practice addresses (Care Compare)

2525 SW 1St Ave
Suite 1215
Portland, OR 97201-4753
Phone (503) 494-4222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
90353CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University Professional Services CurrentSince Feb 1, 2026 Accepting new patients
University Professional Services CurrentSince Feb 1, 2026 Accepting new patients
Hummingbird Healing Psychotherapy LLC CurrentSince Dec 7, 2023 Accepting new patients

Locations

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

2525 SW 1st Ave
Ste 1215
Portland, OR 97201
Phone (503) 494-4222

Organizations & group practices 4

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": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1881047520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TOUCHSTONE APT 70",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970351959",
            "telephone_number": "845-248-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 SW FIRST AVE STE 1200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972014762",
            "telephone_number": "503-494-4745",
            "fax_number": "503-494-4747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "182 N Murphy Ave",
            "address_2": "Unit 9",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "CA",
            "postal_code": "940865086",
            "country_code": "US",
            "telephone_number": "845-248-4103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAGLA",
        "first_name": "PHILLIPA",
        "middle_name": "COURTNAY SPENCER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "90353",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1725",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.