JEREMY SHAWNTE RALLS CSWA
NPI 1184456014
Counselor - Mental Health in Portland, OR

Active since August 19, 2024
3415 SE POWELL BLVD, PORTLAND, OR 97202(503) 234-9591 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 27, 2025, Aug 19, 2024 (2 updates tracked since 2024).

About Jeremy Shawnte Ralls Cswa NPPES

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

JEREMY SHAWNTE RALLS CSWA (NPI 1184456014) is an individual mental health provider in Portland, Oregon and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1184456014
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEREMY SHAWNTE RALLSCredential: CSWA
Location Address3415 SE POWELL BLVDPortland, OR 97202-3371
Mailing Address3415 Se Powell BlvdPortland, OR 97202-3371 · (032) 349-5915
Sole ProprietorNo
Enumeration DateAugust 19, 2024
Last NPPES UpdateMarch 27, 20252 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
NPI 1184456014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3415 SE POWELL BLVD, Portland, OR 97202

Accepted Insurance

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
3415 SE POWELL BLVD
PORTLAND, OR 97202
Counselor (Professional)
3415 SE POWELL BLVD
PORTLAND, OR 97202
Counselor (Mental Health)
3415 SE POWELL BLVD
PORTLAND, OR 97202
Psychologist (Clinical)
3415 SE POWELL BLVD
PORTLAND, OR 97202
Counselor (Mental Health)
3415 SE POWELL BLVD
PORTLAND, OR 97202
Marriage & Family Therapist
3415 SE POWELL BLVD
PORTLAND, OR 97202
Counselor (Mental Health)
3415 SE POWELL BLVD
PORTLAND, OR 97202
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Social Worker (Clinical)
3415 SE POWELL BLVD
PORTLAND, OR 97202
Counselor (Mental Health)
3415 SE POWELL BLVD
PORTLAND, OR 97202
Counselor (Mental Health)
3415 SE POWELL BLVD
PORTLAND, OR 97202
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
3415 SE POWELL BLVD
PORTLAND, OR 97202
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
3415 SE POWELL BLVD
PORTLAND, OR 97202
Counselor (School)
3415 SE POWELL BLVD
PORTLAND, OR 97202
Counselor (School)
3415 SE POWELL BLVD
PORTLAND, OR 97202
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
3415 SE POWELL BLVD
PORTLAND, OR 97202
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Counselor (School)
3415 SE POWELL BLVD
PORTLAND, OR 97202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184456014, enumerated as an "individual" on August 19, 2024.

The provider is located at 3415 SE POWELL BLVD PORTLAND, OR 97202 and the phone number is (503) 234-9591.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.