JESSICA DE CLERCK
NPI 1639912546
Counselor in Portland, OR

Active since June 18, 2024
1215 SW 18TH AVE, PORTLAND, OR 97205(971) 238-4789 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica De Clerck NPPES

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

JESSICA DE CLERCK (NPI 1639912546) is an individual counselor in Portland, Oregon and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1639912546
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJESSICA DE CLERCK
Location Address1215 SW 18TH AVEPortland, OR 97205-1711
Mailing Address1525 Se 44th Ave Apt 403Portland, OR 97215-3176 · (971) 386-3195
Sole ProprietorYes
Enumeration DateJune 18, 2024
NPPES CertifiedJune 17, 2024
NPI 1639912546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1215 SW 18TH AVE, Portland, OR 97205

Other Providers at the Same Location NPPES 17

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

Counselor (Mental Health)
1215 SW 18TH AVE
PORTLAND, OR 97205
Massage Therapist
1215 SW 18TH AVE
PORTLAND, OR 97205
Counselor
1215 SW 18TH AVE
PORTLAND, OR 97205
Massage Therapist
1215 SW 18TH AVE
PORTLAND, OR 97205
Counselor (Mental Health)
1215 SW 18TH AVE
PORTLAND, OR 97205
Psychologist (Clinical)
1215 SW 18TH AVE, SUITE 4
PORTLAND, OR 97205
Social Worker (Clinical)
1215 SW 18TH AVE
PORTLAND, OR 97205
Counselor (Mental Health)
1215 SW 18TH AVE
PORTLAND, OR 97205

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 Jessica De Clerck's NPI number?

The NPI number for Jessica De Clerck is 1639912546. It was assigned to this individual provider in the NPPES registry on June 18, 2024.

Where is Jessica De Clerck located?

Jessica De Clerck practices at 1215 SW 18th Ave, Portland, OR 97205. The listed phone number is (971) 238-4789.

What is Jessica De Clerck's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jessica De Clerck was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.