MS. KARI RUTH GJERDE LPC, MA
NPI 1790199156
Counselor - Mental Health in Portland, OR

Active since June 13, 2014Opted out of Medicare · through Jan 7, 2027
2225 NE MLK JR BLVD # 208, PORTLAND, OR 97212(503) 388-8649 Get Directions Write a Review

NPPES record last updated: April 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2018, Apr 17, 2018 (2 updates tracked since 2018).

About Ms. Kari Ruth Gjerde Lpc, Ma NPPES

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

MS. KARI RUTH GJERDE LPC, MA (NPI 1790199156) is an individual mental health provider in Portland, Oregon, licensed in Oregon (C4163) and active in the NPI registry since June 2014. She has opted out of Medicare through January 7, 2027 and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1790199156
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. KARI RUTH GJERDECredential: LPC, MA
Location Address2225 NE MLK JR BLVD # 208Portland, OR 97212-3727
Mailing Address2225 Ne Martin Luther King Jr Blvd # 208Portland, OR 97212-3727 · (503) 388-8649
Sole ProprietorYes
Enumeration DateJune 13, 2014
Last NPPES UpdateApril 23, 20182 updates tracked since enumeration
NPI 1790199156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OR · C4163
2225 NE MLK JR BLVD # 208, Portland, OR 97212

Secondary Practice Location 1

Location 12225 NE Martin Luther King Jr Blvd # 207Portland, OR 97212-3727 · Phone (503) 388-8649

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

Ms. Kari Ruth Gjerde Lpc, Ma 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 January 7, 2025 through January 7, 2027.

Opt-Out Effective DateJanuary 7, 2025
Opt-Out In Effect ThroughJanuary 7, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Kari Gjerde's NPI number?

The NPI number for Kari Gjerde is 1790199156. It was assigned to this individual provider in the NPPES registry on June 13, 2014.

Where is Kari Gjerde located?

Kari Gjerde practices at 2225 NE Mlk Jr Blvd # 208, Portland, OR 97212. The listed phone number is (503) 388-8649.

What is Kari Gjerde's specialty?

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

Is Kari Gjerde enrolled in Medicare?

No. Kari Gjerde has opted out of Medicare through January 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kari Gjerde accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Kari Gjerde 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 Kari Gjerde was last updated on April 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.