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SUSAN E JACOBY M.S. LPC
NPI 1184089161
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since December 17, 2015
5228 NE HOYT ST, PORTLAND, OR 97213(503) 215-1612(503) 215-6477 Get Directions Write a Review

NPPES record last updated: December 17, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan E Jacoby M.s. Lpc NPPES

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

SUSAN E JACOBY M.S. LPC (NPI 1184089161) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (LPC C0924) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1184089161
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSUSAN E JACOBYCredential: M.S. LPC
Location Address5228 NE HOYT STPortland, OR 97213-3055
Mailing Address5228 Ne Hoyt StPortland, OR 97213-3055 · (503) 215-1612 · Fax (503) 215-6477
Phone(503) 215-1612
Fax(503) 215-6477
Sole ProprietorYes
Enumeration DateDecember 17, 2015
✔ NPI 1184089161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · LPC C0924
5228 NE HOYT ST, Portland, OR 97213
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Other Providers at the Same Location NPPES 17

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

KELLY A SHIELDS LPC
Counselor (Professional)
5228 NE HOYT ST
PORTLAND, OR 97213
Multnomah County (503) 215-6474
DAVID DAMIAN MASOLAK MD
Psychiatry & Neurology (Psychiatry)
5228 NE HOYT ST
PORTLAND, OR 97213
Multnomah County (503) 215-4860
LESLIE JAMES CHRISTIANSON DO
Psychiatry & Neurology (Psychiatry)
5228 NE HOYT ST, BLDG B
PORTLAND, OR 97213
Multnomah County (503) 215-6474
DANIEL MORAN FISCHER M.D.
Psychiatry & Neurology (Psychiatry)
5228 NE HOYT ST, BLDG B, STE 300
PORTLAND, OR 97213
Multnomah County (503) 215-4860
CAROL VIRGILLITO
Social Worker (Clinical)
5228 NE HOYT ST, BUILDING B
PORTLAND, OR 97213
Multnomah County (503) 215-6474
ALEX K JENKINS MD
Psychiatry & Neurology (Psychiatry)
5228 NE HOYT ST, BLDG B, 1 ST FLOOR
PORTLAND, OR 97213
Multnomah County (503) 215-6474
SARA ZUSMAN MSW
Peer Specialist
5228 NE HOYT ST
PORTLAND, OR 97213
Multnomah County (503) 215-6474
ANDRIS ANTONISKIS MD
Internal Medicine
5228 NE HOYT ST, BLDG B, 3RD FLOOR
PORTLAND, OR 97213
Multnomah County (503) 215-2584

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 Susan Jacoby's NPI number?

The NPI number for Susan Jacoby is 1184089161. It was assigned to this individual provider in the NPPES registry on December 17, 2015.

Where is Susan Jacoby located?

Susan Jacoby practices at 5228 NE Hoyt St, Portland, OR 97213. The listed phone number is (503) 215-1612.

What is Susan Jacoby's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Susan Jacoby was last updated on December 17, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.