MR. JESSE WILLIAM WHITE (NPI# 1063736031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063736031 |
| Entity Type | Individual |
| Full Name | MR. JESSE WILLIAM WHITE |
| Practice Address |
2410 Se 121st Ave Ste 216 Portland OR 97216-4085 |
| Mailing Address |
Po Box 886 White Salmon WA 98672-0886 |
| Practice Telephone | 5033355975 |
| Mailing Telephone | 5413992294 |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2010-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598763948 | Jesse William White | Physical Therapist | 75 Glamorgan St, Ste. 110, Alliance, OH 44601-2938 | 2005-07-11 |
| 1124656962 | Jesse White | Student in an Organized Health Care Education/Training Program | 999 N 92nd St Ste 730, Milwaukee, WI 53226-4875 | 2020-03-28 |
| 1912498858 | Jesse Stephen White | Physical Therapy Assistant | 2275 Ruin Creek Rd, Henderson, NC 27537-8732 | 2018-05-26 |
| 1003930678 | Jesse White | Psychologist | 9 Hanover St, Suite 2, Lebanon, NH 03766-1312 | 2007-03-19 |
| Street Address |
2410 SE 121ST AVE STE 216 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216-4085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235274630 | Sheila Gayle Yates | Counselor | 2410 Se 121st Ave Ste 216, Portland, OR 97216-4085 | 2007-02-21 |
| 1235454877 | Carrie Booth | Counselor | 2410 Se 121st Ave Ste 216, Portland, OR 97216-4085 | 2010-04-06 |
| 1922237742 | Constance Joan Coquillette | Social Worker | 2410 Se 121st Ave Ste 216, Portland, OR 97216-4085 | 2009-07-14 |
| 1437301058 | Julie Teresa Donald | Counselor | 2410 Se 121st Ave Ste 216, Portland, OR 97216-4085 | 2008-10-14 |
| 1164605499 | Elissa Kathleen Mantalas | Counselor | 2410 Se 121st Ave Ste 216, Portland, OR 97216-4085 | 2007-12-10 |
| 1891821336 | Gina Marie Batliner | Counselor | 2410 Se 121st Ave Ste 216, Portland, OR 97216-4085 | 2007-02-26 |
| 1609911999 | Kelly Erin Hibbs | Counselor | 2410 Se 121st Ave Ste 216, Portland, OR 97216-4085 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
| 1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
| 1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
| Find all providers in zip 97216 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427160 | Kristine Lee Jones | Counselor | 2628 Se 87th Ave, Portland, OR 97266-1530 | 2020-11-05 |
| 1932711322 | Rachel Wilson | Counselor | 1020 Se 7th Ave # 14283, Portland, OR 97214-2387 | 2020-08-18 |
| 1851919906 | Anjana Rajan | Counselor | Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 | 2020-07-06 |
| 1972124196 | Outside In | Counselor | 16144 E Burnside St, Portland, OR 97233-3520 | 2020-04-28 |
| 1962022350 | Nicole Blake | Counselor | 400 Commercial St, Portland, ME 04101-4660 | 2020-04-25 |
| 1912527201 | Alexa Jenkins | Counselor | 2700 Se Stark St Apt 3, Portland, OR 97214-3499 | 2020-04-16 |
| 1467086629 | Katelan Ruby Hostetler | Counselor | 13300 Ne San Rafael St, Portland, OR 97230-3123 | 2020-02-26 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1093346777 | Sprout Therapy Pdx LLC | Counselor | 7704 N Hereford Ave, Portland, OR 97203-3434 | 2020-01-30 |
| 1861030553 | Steve Bijoga | Counselor | 1350 Forest Ave Apt 16, Portland, ME 04103-1815 | 2019-12-13 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.