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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: August 16, 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
Phone(503) 234-9591
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
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Accepted Insurance

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

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.

AMY HETLAGE MSW
Social Worker
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
CHELSEA YOUNG
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
HALLIE RISWOLD
Case Manager/Care Coordinator
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (541) 757-1852
MICAELA BUSACK
Case Manager/Care Coordinator
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
DANIEL TRACHUK
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
MATTHEW PAUL SIMONSON
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
ELSA CHRISTINA SPAULDING
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
PETAL GRIFFITH BS
Counselor (School)
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 205-4334

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 Ralls's NPI number?

The NPI number for Jeremy Ralls is 1184456014. It was assigned to this individual provider in the NPPES registry on August 19, 2024.

Where is Jeremy Ralls located?

Jeremy Ralls practices at 3415 SE Powell Blvd, Portland, OR 97202. The listed phone number is (503) 234-9591.

What is Jeremy Ralls's specialty?

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

What insurance does Jeremy Ralls accept?

Health plans from Moda Health Plan, Inc. list Jeremy Ralls 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 Ralls was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.