JAKE SULLIVAN
NPI 1215754387
Counselor - Mental Health in Portland, OR

Active since September 20, 2024
1235 SE MORRISON ST, PORTLAND, OR 97214(503) 746-3373 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jake Sullivan NPPES

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

JAKE SULLIVAN (NPI 1215754387) is an individual mental health provider in Portland, Oregon and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1215754387
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJAKE SULLIVAN
Location Address1235 SE MORRISON STPortland, OR 97214-2462
Mailing Address7346 Ne Sandy BlvdPortland, OR 97213-5775 · (503) 746-3373
Sole ProprietorNo
Enumeration DateSeptember 20, 2024
Last NPPES UpdateJune 19, 2026
NPPES CertifiedJune 19, 2026
NPI 1215754387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1235 SE MORRISON ST, Portland, OR 97214

Other Providers at the Same Location NPPES 2

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
1235 SE MORRISON ST
PORTLAND, OR 97214
Counselor (Mental Health)
1235 SE MORRISON ST
PORTLAND, OR 97214

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 Jake Sullivan's NPI number?

The NPI number for Jake Sullivan is 1215754387. It was assigned to this individual provider in the NPPES registry on September 20, 2024.

Where is Jake Sullivan located?

Jake Sullivan practices at 1235 SE Morrison St, Portland, OR 97214. The listed phone number is (503) 746-3373.

What is Jake Sullivan's specialty?

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

When was this NPI record last updated?

The NPPES record for Jake Sullivan was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.