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

Jay N Cacka, QMHP, LPCA

Individual provider Mental Health Counselor · NPI 1518265933

Jay N Cacka, QMHP, LPCA is a Mental Health Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2011.

Licensed in
OR
In the registry since
2011

Practice location Address checks out

3415 SE Powell Blvd
Portland, OR 97202-3371
Phone: (503) 234-9591
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence R8729 (OR)

Record details

NPI number1518265933
Entity typeIndividual (Type 1)
GenderMale
Credentials QMHP , LPCA
Sole proprietorNo
NPI enumeratedMarch 9, 2011
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024

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