Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

YEONG-KEUN JEONG
NPI 1497208037
Counselor - Mental Health in Portland, OR

Active since August 01, 2016PECOS Enrolled
7204 SW DURHAM RD, SUITE 100, PORTLAND, OR 97224(503) 941-9869(503) 352-5555 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2026, Jul 23, 2021 (2 updates tracked since 2021).

About Yeong-keun Jeong NPPES

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

YEONG-KEUN JEONG (NPI 1497208037) is an individual mental health provider in Portland, Oregon, licensed in Oregon (C9891) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1497208037
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameYEONG-KEUN JEONG
Location Address7204 SW DURHAM RD, SUITE 100Portland, OR 97224-7574
Mailing Address7204 Sw Durham Rd, Suite 100Portland, OR 97224-7574 · (503) 309-9221 · Fax (503) 352-5555
Fax(503) 352-5555
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 1, 2016
Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
NPI 1497208037 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 · C9891
7204 SW DURHAM RD, Portland, OR 97224

Other Identifiers 1

Medicaid500713418OR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Yeong-keun Jeong is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183129711
PECOS Enrollment IDI20250924005000
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.

Other Providers at the Same Location NPPES 13

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

Occupational Therapist
7204 SW DURHAM RD, SUITE 100
PORTLAND, OR 97224
Psychologist
7204 SW DURHAM RD, SUITE 100
PORTLAND, OR 97224
Speech-Language Pathologist
7204 SW DURHAM RD, SUITE 100
PORTLAND, OR 97224
Occupational Therapist
7204 SW DURHAM RD, SUITE 100
PORTLAND, OR 97224
Physical Therapist
7204 SW DURHAM RD, SUITE 100
PORTLAND, OR 97224
Occupational Therapist
7204 SW DURHAM RD, SUITE 100
PORTLAND, OR 97224
Physical Therapist
7204 SW DURHAM RD, SUITE 100
PORTLAND, OR 97224
Occupational Therapist
7204 SW DURHAM RD, STE 100
PORTLAND, OR 97224

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 Yeong-keun Jeong's NPI number?

The NPI number for Yeong-keun Jeong is 1497208037. It was assigned to this individual provider in the NPPES registry on August 1, 2016.

Where is Yeong-keun Jeong located?

Yeong-keun Jeong practices at 7204 SW Durham Rd Suite 100, Portland, OR 97224. The listed phone number is (503) 941-9869.

What is Yeong-keun Jeong's specialty?

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

Is Yeong-keun Jeong enrolled in Medicare?

Yes. Yeong-keun Jeong is registered in the Medicare PECOS enrollment system.

What insurance does Yeong-keun Jeong accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Yeong-keun Jeong 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 Yeong-keun Jeong was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.