Active NPI 1467123596 Individual Practitioner Female Practitioner

Jolynn Denise Shaffer , CRM II, QMHA-R

Counselor - Addiction (Substance Use Disorder) • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Jolynn Shaffer, CRM II, QMHA-R is a registered healthcare professional specializing in Counselor - Addiction (Substance Use Disorder) in Gresham, OR. Practice services are available at 355 NW DIVISION ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

355 Nw Division St

Gresham, OR 970305523

Telephone 9712256695

Fax 5032311654

Associated Practice Facility / Clinic

🏢 Native American Rehabilitation Assoc Inc Facility NPI 1558112276

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Addiction (Substance Use Disorder) in Gresham, OR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

83 Specialists

Practicing in Gresham, OR (4216 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-05

Counselor - Addiction (Substance Use Disorder) Primary Specialty

NUCC Taxonomy Code: 101YA0400X

State License OR 25-CRM-II-0495

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License OR 25-QMHA-R-7149

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

500812661 (OR)

Practice Associates & Co-Workers

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

40 Associated Practitioners

Amber Lewis , CRM, PSS

Counselor - Addiction (Substance Use Disorder)

NPI 1003450248

Deanna Shields , CADC-R, CRM, PSS

Counselor - Addiction (Substance Use Disorder)

NPI 1003592759

CADCR, CRM, PSS

Jessica Spain , CADC I, QMHA-R

Counselor - Addiction (Substance Use Disorder)

NPI 1013430271

CADCI, QMHAR

Nicole Williams , CADC II, QMHA-I

Counselor - Mental Health

NPI 1013560713

CADCII, QMHAI

Andulia White Elk , CADCI

Counselor - Addiction (Substance Use Disorder)

NPI 1053302554

Melissa Jones , CRM, PSS, QMHA-R

Counselor - Addiction (Substance Use Disorder)

NPI 1063177269

CRM, PSS, QMHAR

Career & Practice History Timeline

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

15 Historical Events

👤

Provider Name / Credentials Updated November 05, 2025

Recorded as JOLYNN SHAFFER, CRM II/QMHA-R

📍

Updated Practice Location September 17, 2025

Registered at 355 NW DIVISION ST, GRESHAM, OR 970305523 (Tel: 9712256695)

📍

Updated Business Mailing Address September 17, 2025

Registered at 211 SE CARUTHERS ST, PORTLAND, OR 972144502 (Tel: 5032241044)

👤

Provider Name / Credentials Updated September 17, 2025

Recorded as JOLYNN SHAFFER, CRM/QMHA-R

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2025

Counselor (License #25-QMHA-R-7149 in OR)

📍

Updated Practice Location July 26, 2022

Registered at 1631 SW COLUMBIA ST, PORTLAND, OR 972016025 (Tel: 5032312641)

📍

Updated Business Mailing Address July 26, 2022

Registered at 1776 SW MADISON ST, PORTLAND, OR 972051715 (Tel: 5032241044)

👤

Provider Name / Credentials Updated July 26, 2022

Recorded as JOLYNN SHAFFER, CRM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2022

Counselor (License #21-CRM-780 in OR)

✅

NPI Profile Active September 28, 2021

NPI status registered as active in NPPES database

📍

Updated Practice Location September 28, 2021

Registered at 7916 SE FOSTER RD STE 201, PORTLAND, OR 972064289 (Tel: 5032908850)

📍

Updated Business Mailing Address September 28, 2021

Registered at PO BOX 16576, PORTLAND, OR 972920576

👤

Provider Name / Credentials Updated September 28, 2021

Recorded as JOLYNN SHAFFER

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2021

Peer Specialist

🟢

Initial NPI Registration & Enumeration September 28, 2021

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: 1467123596

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 28, 2021

Last Update: November 05, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

211 Se Caruthers St

Portland, OR 972144502

Phone: 5032241044

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.