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

Active since April 03, 2015Opted out of Medicare · through Jul 13, 2028
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: November 01, 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 has opted out of Medicare through July 13, 2028 and 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 1847 NE 19th Ave, Suite 100Portland, OR 97232-2684 · Phone (503) 238-0769
Location 2998 Library CtOregon City, OR 97045-4041 · Phone (503) 655-8401
Location 32705 E Burnside St Ste 206Portland, OR 97214-1768 · Phone (503) 208-5536

Other Identifiers 1

Medicaid500709521OR

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jennifer Yerty has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 13, 2026 through July 13, 2028.

Opt-Out Effective DateJuly 13, 2026
Opt-Out In Effect ThroughJuly 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Marriage & Family Therapist
6536 SE DUKE ST
PORTLAND, OR 97206
Counselor (Mental Health)
6536 SE DUKE ST
PORTLAND, OR 97206
Counselor
6536 SE DUKE ST
PORTLAND, OR 97206
Clinic/Center (Adult Mental Health)
6536 SE DUKE ST
PORTLAND, OR 97206
Student in an Organized Health Care Education/Training Program
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
Specialist
6536 SE DUKE ST
PORTLAND, OR 97206

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 Jennifer Yerty's NPI number?

The NPI number for Jennifer Yerty is 1629463831. It was assigned to this individual provider in the NPPES registry on April 3, 2015.

Where is Jennifer Yerty located?

Jennifer Yerty practices at 6536 SE Duke St, Portland, OR 97206. The listed phone number is (503) 208-5536.

What is Jennifer Yerty's specialty?

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

Is Jennifer Yerty enrolled in Medicare?

No. Jennifer Yerty has opted out of Medicare through July 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jennifer Yerty accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jennifer Yerty 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 Jennifer Yerty was last updated on August 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.