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SHANIQUA JETER
NPI 1720814254
Counselor - Mental Health in Portland, OR

Active since September 11, 2024
5441 S MACADAM AVE STE A, PORTLAND, OR 97239(903) 742-6528 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2025, Sep 11, 2024 (2 updates tracked since 2024).

About Shaniqua Jeter NPPES

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

SHANIQUA JETER (NPI 1720814254) is an individual mental health provider in Portland, Oregon, licensed in Oregon (R10431) and active in the NPI registry since September 2024. She maintains a secondary practice location in Marshall.

NPPES Registry Identity

NPI1720814254
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANIQUA JETER
Location Address5441 S MACADAM AVE STE APortland, OR 97239-6106
Mailing Address5441 S Macadam Ave Ste APortland, OR 97239-6106 · (903) 742-6528
Phone(903) 742-6528
Sole ProprietorNo
Enumeration DateSeptember 11, 2024
Last NPPES UpdateJanuary 3, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2025
✔ NPI 1720814254 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 · R10431
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 88443 (TX)
5441 S MACADAM AVE STE A, Portland, OR 97239
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Secondary Practice Location 1

Location 1108 Valley VwMarshall, TX 75672-7493 · Phone (903) 742-6528

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 20

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

DORIS IFEOMA AGU DNP, MSN, MPH, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
5441 S MACADAM AVE STE A
PORTLAND, OR 97239
Multnomah County (503) 922-1818
LIMINAL SPACE THERAPY LLC
Social Worker (Clinical)
5441 S MACADAM AVE STE A
PORTLAND, OR 97239
Multnomah County (503) 208-5553
STACEE BREWER-GORDON
Counselor (Mental Health)
5441 S MACADAM AVE STE A
PORTLAND, OR 97239
Multnomah County (813) 474-6102
LINDSEY RAMSEY COUNSELING
Clinic/Center (Adult Mental Health)
5441 S MACADAM AVE STE A
PORTLAND, OR 97239
Multnomah County (971) 204-8838
MS. ERICA LEAH BONI
Counselor (Mental Health)
5441 S MACADAM AVE STE A
PORTLAND, OR 97239
Multnomah County (202) 746-1419
SUSIE HAMMOND
Social Worker (Clinical)
5441 S MACADAM AVE STE A
PORTLAND, OR 97239
Multnomah County (425) 608-0203
PATRICIA NICHOLSON
Counselor
5441 S MACADAM AVE STE A
PORTLAND, OR 97239
Multnomah County (503) 410-3009
EVERCHANGE THERAPY LLC
Counselor (Mental Health)
5441 S MACADAM AVE STE A
PORTLAND, OR 97239
Multnomah County (541) 728-6570

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 Shaniqua Jeter's NPI number?

The NPI number for Shaniqua Jeter is 1720814254. It was assigned to this individual provider in the NPPES registry on September 11, 2024.

Where is Shaniqua Jeter located?

Shaniqua Jeter practices at 5441 S Macadam Ave Ste A, Portland, OR 97239. The listed phone number is (903) 742-6528.

What is Shaniqua Jeter's specialty?

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

What insurance does Shaniqua Jeter accept?

Health plans from Moda Health Plan, Inc. list Shaniqua Jeter 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 Shaniqua Jeter was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.