JENNIFER YERTY
NPI 1629463831
Counselor - Mental Health in Portland, OR

Active since April 03, 2015
6536 SE DUKE ST, PORTLAND, OR 97206(503) 208-5536(503) 974-0934 Get Directions Write a Review

NPPES record last updated: August 31, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 12, 2025, Dec 28, 2022, Feb 20, 2020 (3 updates tracked since 2020).

About Jennifer Yerty NPPES

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

JENNIFER YERTY (NPI 1629463831) is an individual mental health provider in Portland, Oregon, licensed in Oregon (C4948) and active in the NPI registry since April 2015. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1629463831
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER YERTY
Location Address6536 SE DUKE STPortland, OR 97206-6665
Mailing Address6547 Se 68th AvePortland, OR 97206-7315 · (503) 208-5536 · Fax (503) 974-0934
Fax(503) 974-0934
Sole ProprietorYes
Enumeration DateApril 3, 2015
Last NPPES UpdateAugust 31, 20253 updates tracked since enumeration
NPPES CertifiedAugust 31, 2025
NPI 1629463831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OR · C4948
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 19-09-13 (OR)
6536 SE DUKE ST, Portland, OR 97206

Secondary Practice Locations 3

Location 1998 Library CtOregon City, OR 97045-4041 · Phone (503) 655-8401
Location 22705 E Burnside St Ste 206Portland, OR 97214-1768 · Phone (503) 208-5536
Location 3847 NE 19th Ave, Suite 100Portland, OR 97232-2684 · Phone (503) 238-0769

Other Identifiers 1

Medicaid500709521OR

Accepted Insurance

Other Providers at the Same Location NPPES 11

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

Social Worker (Clinical)
6536 SE DUKE ST
PORTLAND, OR 97206
Specialist
6536 SE DUKE ST
PORTLAND, OR 97206
Marriage & Family Therapist
6536 SE DUKE ST
PORTLAND, OR 97206
Counselor
6536 SE DUKE ST
PORTLAND, OR 97206
Counselor (Mental Health)
6536 SE DUKE ST
PORTLAND, OR 97206
Counselor (Mental Health)
6536 SE DUKE ST
PORTLAND, OR 97206
Social Worker (Clinical)
6536 SE DUKE ST
PORTLAND, OR 97206
Psychologist (Clinical)
6536 SE DUKE ST
PORTLAND, OR 97206

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629463831, enumerated as an "individual" on April 03, 2015.

The provider is located at 6536 SE DUKE ST PORTLAND, OR 97206 and the phone number is (503) 208-5536.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Moda Health Plan, Inc., PacificSource Health. Please consult your insurance carrier or call the provider to verify.