JENNIFER COOPER LPC, CADCII
NPI 1063759231
Counselor - Professional in Portland, OR

Q: What is Jennifer Cooper's NPI number?

The NPI number for Jennifer Cooper is 1063759231. It was assigned to this individual provider in the NPPES registry on January 8, 2013.

Q: What is Jennifer Cooper's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Cooper was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 08, 2013PECOS Enrolled

3500 NE MLK BLVD STE 200, PORTLAND, OR 97212(503) 237-8205 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 13, 2026, Jan 24, 2020 (2 updates tracked since 2020).

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About Jennifer Cooper Lpc, Cadcii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER COOPER LPC, CADCII (NPI 1063759231) is an individual professional provider in Portland, Oregon, licensed in Oregon (C3479) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063759231

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJENNIFER COOPERCredential: LPC, CADCII

Location Address3500 NE MLK BLVD STE 200Portland, OR 97212-2093

Mailing Address1604a Ne 59th AvePortland, OR 97213-4244 · (503) 915-8290

Phone(503) 237-8205

Sole ProprietorNo

Enumeration DateJanuary 8, 2013

Last NPPES UpdateMarch 13, 20262 updates tracked since enumeration

NPPES CertifiedMarch 13, 2026

✔ NPI 1063759231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OR · C3479

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 10R21 (OR)

3500 NE MLK BLVD STE 200, Portland, OR 97212

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Cooper Lpc, Cadcii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Cooper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Western Psychological And Counseling Services LLC

117 mi

Clinical

2420 S UNION AVE
Tacoma, WA 98405

Reassigned Medicare billing, Oregon enrollment
314 clinicians in this Medicare group

NPI 1912008178 (253) 752-7320

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY RANDALL

Social Worker (Clinical)