Active NPI
Patrick WM Jaross, QMHP
- Mental Health Counselor
- Madras, OR
National Provider Identifier
1902251333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 24-QMHP-R-2718
- Practice address
- 850 SW 4TH St
Madras, OR 97741-9628 - Phone
- (458) 312-8654
- Fax
- (541) 475-6196
- NPI assigned
- May 4, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | OR | ||
| Mental Health Counselor | 101YM0800X | 24-QMHP-R-2718 | OR | Primary |
Addresses
Primary practice location
850 SW 4TH St
Madras, OR 97741-9628
Mailing address
850 SW 4TH St
Madras, OR 97741-9628
Phone (458) 312-8654
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902251333 | Medicaid | OR |
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 |
|---|---|---|---|
| 24-QMHP-R-2718 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1902251333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 SW 4TH ST",
"city": "MADRAS",
"state": "OR",
"postal_code": "977419628",
"telephone_number": "458-312-8654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 SW 4TH ST",
"city": "MADRAS",
"state": "OR",
"postal_code": "977419628",
"telephone_number": "458-312-8654",
"fax_number": "541-475-6196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAROSS",
"first_name": "PATRICK",
"middle_name": "WM",
"credential": "QMHP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-04",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "24-QMHP-R-2718",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902251333",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madras, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.