JESHURUN GASPER
NPI 1215511654
Counselor - Mental Health in Beaverton, OR

Active since May 11, 2021PECOS Enrolled
4900 SW GRIFFITH DR STE 157, BEAVERTON, OR 97005(503) 444-8230(503) 295-4036 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2024, May 11, 2021 (2 updates tracked since 2021).

About Jeshurun Gasper NPPES

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

JESHURUN GASPER (NPI 1215511654) is an individual mental health provider in Beaverton, Oregon, licensed in Oregon (C8777) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1215511654
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESHURUN GASPER
Location Address4900 SW GRIFFITH DR STE 157Beaverton, OR 97005-2977
Mailing Address4900 Sw Griffith Dr Ste 157Beaverton, OR 97005-2977 · (503) 444-8230 · Fax (503) 295-4036
Fax(503) 295-4036
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 11, 2021
Last NPPES UpdateSeptember 11, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
✔ NPI 1215511654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · C8777
4900 SW GRIFFITH DR STE 157, Beaverton, OR 97005

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeshurun Gasper is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951806488
PECOS Enrollment IDI20250925002724
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jeshurun Gasper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adolescent and Children Mental Health
4900 SW GRIFFITH DRIVE, ST 157
Beaverton, OR 97005
  • Reassigned Medicare billing, Oregon enrollment
  • 4 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

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

Student in an Organized Health Care Education/Training Program
4900 SW GRIFFITH DR STE 157
BEAVERTON, OR 97005
Speech-Language Pathologist
4900 SW GRIFFITH DR STE 157
BEAVERTON, OR 97005
Counselor (Mental Health)
4900 SW GRIFFITH DR STE 157
BEAVERTON, OR 97005
Counselor (Mental Health)
4900 SW GRIFFITH DR STE 157
BEAVERTON, OR 97005
Student in an Organized Health Care Education/Training Program
4900 SW GRIFFITH DR STE 157
BEAVERTON, OR 97005
Counselor (Mental Health)
4900 SW GRIFFITH DR STE 157
BEAVERTON, OR 97005
Psychologist (Clinical Child & Adolescent)
4900 SW GRIFFITH DR STE 157
BEAVERTON, OR 97005

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 Jeshurun Gasper's NPI number?

The NPI number for Jeshurun Gasper is 1215511654. It was assigned to this individual provider in the NPPES registry on May 11, 2021.

Where is Jeshurun Gasper located?

Jeshurun Gasper practices at 4900 SW Griffith Dr Ste 157, Beaverton, OR 97005. The listed phone number is (503) 444-8230.

What is Jeshurun Gasper's specialty?

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

Is Jeshurun Gasper enrolled in Medicare?

Yes. Jeshurun Gasper is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeshurun Gasper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeshurun Gasper reassigns Medicare benefits to Northwest Counseling Associates, LLC (Beaverton, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeshurun Gasper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeshurun Gasper accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jeshurun Gasper 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 Jeshurun Gasper was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.