ANTHONY DION JARRARD CADC I/CRM/PSS/QMHAI - NPI 1235785502

Q: What is Anthony Jarrard's NPI number?

The NPI number for Anthony Jarrard is 1235785502. It was assigned to this individual provider in the NPPES registry on August 13, 2019.

Q: What is Anthony Jarrard's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Jarrard was last updated on August 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Anthony Dion Jarrard Cadc I/crm/pss/qmhai NPPES

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

ANTHONY DION JARRARD CADC I/CRM/PSS/QMHAI (NPI 1235785502) is an individual peer specialist in Portland, Oregon, licensed in Oregon (3210) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1235785502

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameANTHONY DION JARRARDCredential: CADC I/CRM/PSS/QMHAI

Location Address1631 SW COLUMBIA STPortland, OR 97201-6025

Mailing Address211 Se Caruthers StPortland, OR 97214-4502 · (503) 224-1044 · Fax (971) 260-0355

Phone(971) 261-0544

Fax(971) 245-3043

Sole ProprietorNo

Enumeration DateAugust 13, 2019

Last NPPES UpdateAugust 20, 20253 updates tracked since enumeration

NPPES CertifiedAugust 20, 2025

✔ NPI 1235785502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in OR · 3210

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 20-06-24 (OR), 18-CRM-206 (OR)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 25-QMHA-I-005159 (OR)

1631 SW COLUMBIA ST, Portland, OR 97201

Open in Google Maps ↗

Other Identifiers 2

Medicaid500768570OR

Medicaid500770905OR

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.

AMBER C LEWIS CRM/PSS

Counselor (Addiction (Substance Use Disorder))