Individual provider Active NPI

JD Akobian, CADC-I, QMHA-I

  • Addiction (Substance Use Disorder) Counselor
  • Portland, OR
National Provider Identifier
1942087929
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
24-05-1127 Issued in OR
Practice address
251 SW Alder St
Portland, OR 97204-3105
Phone
(818) 669-0892
NPI assigned
Sep 12, 2023
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 24-05-1127 OR Primary
Mental Health Counselor 101YM0800X 24-QMHA-I-004580 OR

Addresses

Primary practice location

251 SW Alder St
Portland, OR 97204-3105

Mailing address

123 NW 12TH Ave Apt 630
Portland, OR 97209-4147
Phone (818) 669-0892

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
24-QMHA-I-004580ORMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1942087929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 NW 12TH AVE APT 630",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972094147",
            "telephone_number": "818-669-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 SW ALDER ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972043105",
            "telephone_number": "818-669-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKOBIAN",
        "first_name": "JD",
        "credential": "CADC-I, QMHA-I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-12",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "24-05-1127",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "24-QMHA-I-004580",
            "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 Apr 23, 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.