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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: October 18, 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
Phone(503) 941-9869
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
Open in Google Maps ↗

Other Identifiers 1

Medicaid500713418OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Yeong-keun Jeong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brain Rehab Network Oregon, Inc.
Same address
Brain Injury Medicine
7204 SW DURHAM RD STE 100
Tigard, OR 97224
  • Reassigned Medicare billing, Oregon enrollment
  • 24 clinicians in this Medicare group
NPI 1134595002 (503) 941-9869

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 16

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

MADELINE BO-QUAN HOLTE MOT, OTR/L
Occupational Therapist
7204 SW DURHAM RD, SUITE 100
PORTLAND, OR 97224
Washington County (503) 941-9869
DR. JODI PALENSKY PH.D.
Psychologist
7204 SW DURHAM RD, SUITE 100
PORTLAND, OR 97224
Washington County (503) 941-9869
LAUREN BRASFIELD SLP-CCC
Speech-Language Pathologist
7204 SW DURHAM RD, SUITE 100
PORTLAND, OR 97224
Washington County (503) 941-9869
TARYN TRAUGHBER OTD
Occupational Therapist
7204 SW DURHAM RD, SUITE 100
PORTLAND, OR 97224
Washington County (503) 941-9869
RUTH LYDIA HOLLORAN P.T,
Physical Therapist
7204 SW DURHAM RD, SUITE 100
PORTLAND, OR 97224
Washington County (503) 941-9869
SUSAN SCHMITT MD
Physical Medicine & Rehabilitation
7204 SW DURHAM RD, SUITE 100
PORTLAND, OR 97224
Washington County (503) 941-9869
MRS. AMANDA HILLER P.T.
Physical Therapist
7204 SW DURHAM RD, SUITE 100
PORTLAND, OR 97224
Washington County (503) 941-9869
DANIELLE LAUREN BECK OTR
Occupational Therapist
7204 SW DURHAM RD, SUITE 100
PORTLAND, OR 97224
Washington County (503) 941-9869

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.

Which organization bills Medicare for Yeong-keun Jeong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yeong-keun Jeong reassigns Medicare benefits to Brain Rehab Network Oregon, Inc. (Tigard, 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 Yeong-keun Jeong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yeong-keun Jeong accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., 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 3 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.