1. Home
  2. Directory
  3. Oregon
  4. Tigard
  5. Counselor
  6. NPI Profile

MR. JEREMY SABA ADVERSALO
NPI 1134412166
Counselor - Mental Health in Tigard, OR

Active since May 24, 2011
11895 SW GREENBURG RD, TIGARD, OR 97223(503) 597-3964 Get Directions Write a Review

NPPES record last updated: May 24, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jeremy Saba Adversalo NPPES

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

MR. JEREMY SABA ADVERSALO (NPI 1134412166) is an individual mental health provider in Tigard, Oregon and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1134412166
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JEREMY SABA ADVERSALO
Location Address11895 SW GREENBURG RDTigard, OR 97223-6450
Mailing Address10313 Sw 69th AveTigard, OR 97223-9103 · (503) 597-3964
Phone(503) 597-3964
Sole ProprietorNo
Enumeration DateMay 24, 2011
✔ NPI 1134412166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
11895 SW GREENBURG RD, Tigard, OR 97223
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 15

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

MRS. MELODY SUE GEORGE LCSW
Social Worker (Clinical)
11895 SW GREENBURG RD
TIGARD, OR 97223
Washington County (503) 597-3894
MR. GRANT V FREY JR.
Counselor
11895 SW GREENBURG RD
TIGARD, OR 97223
Washington County (503) 726-3696
MISS STELLA NTHENYA MUTUKU
Counselor (Mental Health)
11895 SW GREENBURG RD
TIGARD, OR 97223
Washington County (503) 726-3690
HEATHER MOORE
Counselor
11895 SW GREENBURG RD
TIGARD, OR 97223
Washington County (503) 726-3960
MISS KATHERIN MARIE HUDON M.A., Q.M.H.P
Counselor (Mental Health)
11895 SW GREENBURG RD
TIGARD, OR 97223
Washington County (503) 726-3690
MS. KIMBERLY MENDIOLA QMHA
Counselor (Mental Health)
11895 SW GREENBURG RD
TIGARD, OR 97223
Washington County (503) 726-3690
KRISTAL L. FOSKEY LCSW
Social Worker (Clinical)
11895 SW GREENBURG RD
TIGARD, OR 97223
Washington County (503) 726-3728
MRS. LISA GRUNDY M.A., QMHP
Counselor (Mental Health)
11895 SW GREENBURG RD
TIGARD, OR 97223
Washington County (503) 726-3690

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 Jeremy Adversalo's NPI number?

The NPI number for Jeremy Adversalo is 1134412166. It was assigned to this individual provider in the NPPES registry on May 24, 2011.

Where is Jeremy Adversalo located?

Jeremy Adversalo practices at 11895 SW Greenburg Rd, Tigard, OR 97223. The listed phone number is (503) 597-3964.

What is Jeremy Adversalo's specialty?

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

What insurance does Jeremy Adversalo accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Jeremy Adversalo 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 Jeremy Adversalo was last updated on May 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.