Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528761996 Individual Practitioner Male Practitioner

Jerry Keith , LPC

Counselor - Professional • Gladstone, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jerry Keith, LPC is a certified Counselor - Professional practicing in Gladstone, OR. With approximately 7 years of clinical experience since completing medical education in 2019, Jerry Keith delivers high-quality medical care to the local community at 870 82ND DR BLDG C.

Jerry Keith is affiliated with Western Psychological And Counseling Services Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

870 82nd Dr Bldg C

Gladstone, OR 970271803

Telephone 5036595515
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Gladstone, OR

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -13.7 yrs vs City Avg
City Avg: 20.7 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
20 Specialists

Practicing in Gladstone, OR (2601 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Keith (7 Years) 7 Yrs
Gladstone Specialty Average (20.7 Years) 20.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-11-08
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OR C10718

Definition to come...

Hospital & Practice Group Affiliations

Western Psychological And Counseling Services Llc

870 Se 82 Dr, Gladstone, OR 97027

Phone: 5036595515

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003164690

Doctor of Psychology (Psy.D.)

Sara Padilla , LPC, LMHC

Counselor - Professional

NPI 1023463957

Licensed Professional Counselor, Licensed Mental Health Counselor

Chase Melby

Counselor - Mental Health

NPI 1033824537
Sarah Miller , LPC

Counselor - Professional

NPI 1043812712

Licensed Professional Counselor

Dr. Slater Tai , MD

Psychiatry & Neurology - Psychiatry

NPI 1063597516

Doctor of Medicine (M.D.)

Diana Grum , MSSA, LCSW

Social Worker - Clinical

NPI 1063841625

MSSA, Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
👤
Provider Name / Credentials Updated November 08, 2025

Recorded as JERRY KEITH, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2025

Counselor (License #C10718 in OR)

📍
Updated Practice Location April 17, 2024

Registered at 870 82ND DR BLDG C, GLADSTONE, OR 970271803 (Tel: 5036595515)

📍
Updated Business Mailing Address April 17, 2024

Registered at 870 82ND DR BLDG C, GLADSTONE, OR 970271803 (Tel: 5413992729)

👤
Provider Name / Credentials Updated April 17, 2024

Recorded as JERRY KEITH, PCA

NPI Profile Active March 24, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2023

Registered at 14448 SE BRIDGETON ST, CLACKAMAS, OR 970156270 (Tel: 5413992729)

📍
Updated Business Mailing Address March 24, 2023

Registered at 14448 SE BRIDGETON ST, CLACKAMAS, OR 970156270 (Tel: 5413992729)

👤
Provider Name / Credentials Updated March 24, 2023

Recorded as JERRY KEITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2023

Counselor (License #R8222 in OR)

🟢
Initial NPI Registration & Enumeration March 24, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528761996
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2023
Last Update: November 08, 2025
Sole Proprietor: No

Mailing Address

870 82nd Dr Bldg C

Gladstone, OR 970271803

Phone: 5413992729

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.