Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jake Sullivan

Individual provider Mental Health Counselor · NPI 1215754387

Jake Sullivan is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1235 SE Morrison St
Portland, OR 97214-2462
Phone: (503) 746-3373
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1215754387
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 20, 2024
Last updated in NPPESJune 19, 2026
Certification dateJune 19, 2026

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