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CELESS JOLLYMORE
NPI 1083006050
Counselor - Mental Health in Portland, OR

Active since February 26, 2015
3716 NE MLK JR BLVD, PORTLAND, OR 97212(503) 288-8066 Get Directions Write a Review

NPPES record last updated: February 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Celess Jollymore NPPES

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

CELESS JOLLYMORE (NPI 1083006050) is an individual mental health provider in Portland, Oregon and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1083006050
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCELESS JOLLYMORE
Location Address3716 NE MLK JR BLVDPortland, OR 97212-1111
Mailing Address3716 Ne Mlk Jr BlvdPortland, OR 97212-1111 · (503) 288-8066
Phone(503) 288-8066
Sole ProprietorYes
Enumeration DateFebruary 26, 2015
✔ NPI 1083006050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3716 NE MLK JR BLVD, Portland, OR 97212
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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.

HANNAH ROSE-MARIE HARNSBERGER MS
Counselor
3716 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 288-8066
HIKARU KUKITA
Counselor
3716 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 288-8066
KASEY LEE PUJOL
Counselor
3716 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 645-3581
MRS. SHANDRA NICOLE SHULTZ CADC-R, CRM, PSS
Counselor
3716 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 288-8066
IAN RICHARD STARR M.D.
Psychiatry & Neurology (Psychiatry)
3716 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 288-8066
MRS. CHERITY WHITEAKER
Counselor (Mental Health)
3716 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 288-8066
JESSICA HARLEM-SIEGEL
Counselor
3716 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 288-8066
CALVIN BATES
Social Worker
3716 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 288-8066

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 Celess Jollymore's NPI number?

The NPI number for Celess Jollymore is 1083006050. It was assigned to this individual provider in the NPPES registry on February 26, 2015.

Where is Celess Jollymore located?

Celess Jollymore practices at 3716 NE Mlk Jr Blvd, Portland, OR 97212. The listed phone number is (503) 288-8066.

What is Celess Jollymore'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 Celess Jollymore was last updated on February 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.