Jerry Keith Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

JERRY KEITH COUNSELING LLC

Practice address

14448 SE Bridgeton St
Clackamas, OR 97015-6270

Phone

(541) 399-2729

NPI assigned

Mar 24, 2023

Organization subpart

No

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

Authorized official

Name

Jerry Lee KeithNPI 1528761996

Title

Owner

Phone

(541) 399-2729

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerry Keith, LPC

  • Professional Counselor
  • Gladstone, OR
  • NPI 1528761996

  Mental Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1992408157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14448 SE BRIDGETON ST",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156270",
            "telephone_number": "541-399-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14448 SE BRIDGETON ST",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156270",
            "telephone_number": "541-399-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY KEITH COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-399-2729"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer O'Leary, ND PC
• Andrew Eric Jensen
• Megan Jensen, FNP-C
• Victoria Jensen, PMHNP
• Charles Jerabek
• Patricia L Jilot, PTA
• Alicia Brianna Jimenez, CADC-R
• Sylvia G Jimenez, DDS
• JMB Dental PC
• Catherine John, MD

• Mental Health Counselor in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.