Active NPI
Jessica E. Schurtman, MA, LPC
- Professional Counselor
- Portland, OR
National Provider Identifier
1922147255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C2509
- Practice address
- 526 NW 21St Ave
Portland, OR 97209-1157 - Phone
- (503) 737-4276
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C2509 | OR | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CADC I | OR | |
| Mental Health Counselor | 101YM0800X | C2509 | OR |
Addresses
Primary practice location
526 NW 21St Ave
Portland, OR 97209-1157
Mailing address
526 NW 21St Ave
Portland, OR 97209-1157
Phone (503) 737-4276
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CADC I | OR | MD | Addiction (Substance Use Disorder) Counselor |
| C2509 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299628800000",
"number": "1922147255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "526 NW 21ST AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972091157",
"telephone_number": "503-737-4276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "526 NW 21ST AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972091157",
"telephone_number": "503-737-4276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHURTMAN",
"first_name": "JESSICA",
"middle_name": "E.",
"name_prefix": "Ms.",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2011-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C2509",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "CADC I",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C2509",
"primary": false
}
],
"identifiers": [],
"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 Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.