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

Jerry Keith, LPC

Individual provider Professional Counselor · NPI 1528761996

Jerry Keith, LPC is a Mental Health Counselor in Gladstone, Oregon. Qualified in 2019, 7 years ago. Practices with Western Psychological and Counseling Services LLC, a 332-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
7
Licensed in
OR
In the registry since
2023
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

870 82nd Dr Bldg C
Gladstone, OR 97027-1803
Phone: (503) 659-5515
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C10718 (OR)

Record details

NPI number1528761996
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedMarch 24, 2023
Last updated in NPPESNovember 8, 2025
Certification dateNovember 8, 2025
Mailing address870 82nd Dr Bldg C, Gladstone, OR 97027-1803

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Western Psychological And Counseling Services Llc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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