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JAKE ANTONINI
NPI 1063840700
Counselor - Mental Health in Tigard, OR

Active since October 16, 2013
8915 SW CENTER ST, TIGARD, OR 97223(503) 726-3698 Get Directions Write a Review

NPPES record last updated: October 16, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jake Antonini NPPES

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

JAKE ANTONINI (NPI 1063840700) is an individual mental health provider in Tigard, Oregon and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1063840700
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJAKE ANTONINI
Location Address8915 SW CENTER STTigard, OR 97223-6307
Mailing Address8915 Sw Center StTigard, OR 97223-6307 · (503) 726-3698
Phone(503) 726-3698
Sole ProprietorYes
Enumeration DateOctober 16, 2013
✔ NPI 1063840700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
8915 SW CENTER ST, Tigard, OR 97223
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Other Providers at the Same Location NPPES 20

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

MS. CORRINE C TRACY MASTERS IN NURSING
Counselor
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (503) 270-7752
PATRICIA ANN BOLDEN
Marriage & Family Therapist
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (503) 726-3690
MS. LA TONYA TERRELL GAY
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (503) 726-3740
REGINA SONNIER
Behavior Analyst
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (503) 726-3740
MS. CINDY MICHELLE STUBBLES QMHA
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (503) 726-3698
NORA WOLFE
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (503) 726-3690
ELI LEE SOMETIMES
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (503) 726-3690
BEVERLY ANN GALLAGHER MSW
Social Worker
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (541) 757-1852

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 Jake Antonini's NPI number?

The NPI number for Jake Antonini is 1063840700. It was assigned to this individual provider in the NPPES registry on October 16, 2013.

Where is Jake Antonini located?

Jake Antonini practices at 8915 SW Center St, Tigard, OR 97223. The listed phone number is (503) 726-3698.

What is Jake Antonini's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jake Antonini was last updated on October 16, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.