Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609631456 Individual Practitioner Female Practitioner

Valyn Lee Keith-Jackson , CADC 1

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

Professional Overview & Biography Verified Profile Summary

Valyn Keith-Jackson, CADC 1 is a registered healthcare professional specializing in Counselor - Addiction (Substance Use Disorder) in Gresham, OR. Practice services are available at 620 NE 2ND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

620 Ne 2nd St

Gresham, OR 970307514

Telephone 9712743757
Fax 5039125740
Associated Practice Facility / Clinic

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: 2024-10-15
Counselor - Addiction (Substance Use Disorder) Primary Specialty

NUCC Taxonomy Code: 101YA0400X

State License MD SC3245

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OR 24-R-29

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
Kathy Litvin , CSWA, QMHP-C

Counselor - Mental Health

NPI 1003213737

CSWA, QMHPC

Elizabeth Valadez , CRM, PSS

Counselor - Addiction (Substance Use Disorder)

NPI 1013765569
Christina Collier , QMHA-I

Counselor - Mental Health

NPI 1023570397

QMHAI

Jessica Trailer , QMHA-I

Counselor - Mental Health

NPI 1033758479

QMHAI

Danielle Curtis , CRM-II CADC-I QMHA-R

Counselor - Addiction (Substance Use Disorder)

NPI 1063209914

CRMIICADCIQMHAR

NPI 1073060083

CADCR, CSWA

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location October 23, 2024

Registered at 620 NE 2ND ST, GRESHAM, OR 970307514 (Tel: 9712743757)

📍
Updated Business Mailing Address October 23, 2024

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

👤
Provider Name / Credentials Updated October 23, 2024

Recorded as VALYN KEITH-JACKSON, CADC 1

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2024

Counselor (License #24-R-29 in OR)

NPI Profile Active February 20, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location February 20, 2024

Registered at 1032 ANNAPOLIS RD, GAMBRILLS, MD 210541034 (Tel: 4434405790)

📍
Updated Business Mailing Address February 20, 2024

Registered at 751 224TH ST, PASADENA, MD 211221345

👤
Provider Name / Credentials Updated February 20, 2024

Recorded as VALYN KEITH-JACKSON, CSC-AD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2024

Counselor (License #SC3245 in MD)

🟢
Initial NPI Registration & Enumeration February 20, 2024

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: 1609631456
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2024
Last Update: October 23, 2024
Sole Proprietor: Yes

Mailing Address

1776 Sw Madison St

Portland, OR 972051715

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.