JERRY KEITH LPC
NPI 1528761996
Counselor - Professional in Gladstone, OR
About Jerry Keith Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERRY KEITH LPC (NPI 1528761996) is an individual professional provider in Gladstone, Oregon, licensed in Oregon (C10718) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jerry Keith Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jerry Keith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tacoma, WA 98405
- Reassigned Medicare billing, Oregon enrollment
- 314 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GLADSTONE, OR 97027
GLADSTONE, OR 97027
GLADSTONE, OR 97027
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 Jerry Keith's NPI number?
The NPI number for Jerry Keith is 1528761996. It was assigned to this individual provider in the NPPES registry on March 24, 2023.
Where is Jerry Keith located?
Jerry Keith practices at 870 82nd Dr Bldg C, Gladstone, OR 97027. The listed phone number is (503) 659-5515.
What is Jerry Keith's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jerry Keith enrolled in Medicare?
Yes. Jerry Keith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jerry Keith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Keith reassigns Medicare benefits to Western Psychological And Counseling Services LLC (Tacoma, WA). 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 Jerry Keith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jerry Keith accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jerry Keith 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 Jerry Keith was last updated on November 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Jerry Keith, LPC · NPI 1528761996
Professional provider in Gladstone, Oregon. Individual provider, active in the CMS NPPES registry since March 24, 2023.
## Identity
- **NPI:** 1528761996 (Entity type: Individual)
- **Enumerated:** March 24, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** C10718 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 870 82ND DR BLDG C, Gladstone, OR 97027-1803
- **Phone:** (503) 659-5515
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Western Psychological And Counseling Services LLC (NPI 1912008178, Tacoma, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** November 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1528761996) · Data from the CMS NPPES public registry.