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

Active since January 08, 2013PECOS EnrolledAccepts Medicare Assignment
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: August 02, 2026.

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

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 and is a graduate of Other (2009).

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
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jennifer Cooper Lpc, Cadcii is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052849114
PECOS Enrollment IDI20250116003624
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.

Other Providers at the Same Location NPPES 14

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

Social Worker (Clinical)
3500 NE MLK BLVD STE 200
PORTLAND, OR 97212
Social Worker (Clinical)
3500 NE MLK BLVD STE 200
PORTLAND, OR 97212
Psychiatry & Neurology (Psychiatry)
3500 NE MLK BLVD STE 200
PORTLAND, OR 97212
Student in an Organized Health Care Education/Training Program
3500 NE MLK BLVD STE 200
PORTLAND, OR 97212
Counselor (Professional)
3500 NE MLK BLVD STE 200
PORTLAND, OR 97212
Counselor (Professional)
3500 NE MLK BLVD STE 200
PORTLAND, OR 97212
Social Worker
3500 NE MLK BLVD STE 200
PORTLAND, OR 97212
Counselor (Professional)
3500 NE MLK BLVD STE 200
PORTLAND, OR 97212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Jennifer Cooper located?

Jennifer Cooper practices at 3500 NE Mlk Blvd Ste 200, Portland, OR 97212. The listed phone number is (503) 237-8205.

What is Jennifer Cooper's specialty?

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

Is Jennifer Cooper enrolled in Medicare?

Yes. Jennifer Cooper is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jennifer Cooper accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Jennifer Cooper as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 4 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.