MR. JERROD DAVID BOLES LPC
NPI 1962646133
Counselor - Mental Health in Clackamas, OR

Active since April 30, 2009
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(503) 571-0860 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2021, Mar 17, 2018, Nov 6, 2017 (3 updates tracked since 2017).

About Mr. Jerrod David Boles Lpc NPPES

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

MR. JERROD DAVID BOLES LPC (NPI 1962646133) is an individual mental health provider in Clackamas, Oregon, licensed in Oregon (C4544) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1962646133
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JERROD DAVID BOLESCredential: LPC
Location Address10180 SE SUNNYSIDE RDClackamas, OR 97015-8970
Mailing Address10180 Se Sunnyside RdClackamas, OR 97015-8970 · (503) 571-0860
Sole ProprietorNo
Enumeration DateApril 30, 2009
Last NPPES UpdateDecember 30, 20213 updates tracked since enumeration
NPPES CertifiedDecember 30, 2021
NPI 1962646133 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 · C4544
10180 SE SUNNYSIDE RD, Clackamas, OR 97015

Accepted 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.

Internal Medicine
10180 SE SUNNYSIDE RD, KAISER PERMANENTE DEPARTMENT OF INTERNAL MEDICINE
CLACKAMAS, OR 97015
Emergency Medicine
10180 SE SUNNYSIDE RD, KAISER SUNNYSIDE MEDICAL CENTER
CLACKAMAS, OR 97015
Anesthesiology
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Nurse Anesthetist, Certified Registered
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Nurse Anesthetist, Certified Registered
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Nurse Anesthetist, Certified Registered
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Radiology (Diagnostic Radiology)
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Psychiatry & Neurology (Neurology)
10180 SE SUNNYSIDE RD, DEPT OF NEUROLOGY, CLINIC C
CLACKAMAS, OR 97015

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 Jerrod Boles's NPI number?

The NPI number for Jerrod Boles is 1962646133. It was assigned to this individual provider in the NPPES registry on April 30, 2009.

Where is Jerrod Boles located?

Jerrod Boles practices at 10180 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (503) 571-0860.

What is Jerrod Boles's specialty?

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

What insurance does Jerrod Boles accept?

Health plans from Kaiser Permanente list Jerrod Boles 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 Jerrod Boles was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.