Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235785502 Individual Practitioner Male Practitioner

Anthony Dion Jarrard , CADC I, CRM, PSS, QMHAI

Peer Specialist • Portland, OR

Professional Overview & Biography Verified Profile Summary

Anthony Jarrard, CADC I, CRM, PSS, QMHAI is a registered healthcare professional specializing in Peer Specialist in Portland, OR. Practice services are available at 1631 SW COLUMBIA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1631 Sw Columbia St

Portland, OR 972016025

Telephone 9712610544
Fax 9712453043
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
769 Specialists

Practicing in Portland, OR (3408 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: 2025-08-20
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OR 3210

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OR 20-06-24

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OR 18-CRM-206

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License OR 25-QMHA-I-005159

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500768570 (OR)
Medicaid State Provider ID
500770905 (OR)

Practice Associates & Co-Workers

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

12 Associated Practitioners
Amy Elness , CADC II, QMHA-I

Counselor - Addiction (Substance Use Disorder)

NPI 1003648148

CADCII, QMHAI

Temika Okegbe

Counselor - Mental Health

NPI 1013859651
Marshal Gambee , QMHA-R

Counselor - Mental Health

NPI 1114887015

QMHAR

April Erickson , CRM, QMHA-R

Counselor - Mental Health

NPI 1245177724

CRM, QMHAR

Dustin Florez

Counselor - Addiction (Substance Use Disorder)

NPI 1285503193
Natalie Martin , QMHP-C

Counselor - Mental Health

NPI 1295096915

QMHPC

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location August 20, 2025

Registered at 1631 SW COLUMBIA ST, PORTLAND, OR 972016025 (Tel: 9712610544)

📍
Updated Business Mailing Address August 20, 2025

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

👤
Provider Name / Credentials Updated August 20, 2025

Recorded as ANTHONY JARRARD, CADC I/CRM/PSS/QMHAI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2025

Peer Specialist (License #3210 in OR)

👤
Provider Name / Credentials Updated August 21, 2024

Recorded as ANTHONY JARRARD, CADC I/CRM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2024

Counselor (License #20-06-24 in OR)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2020

Counselor (License #T-18-192 in OR)

NPI Profile Active August 13, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2019

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

📍
Updated Business Mailing Address August 13, 2019

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

👤
Provider Name / Credentials Updated August 13, 2019

Recorded as ANTHONY JARRARD, CADC-R/CRM/PSS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2019

Counselor (License #18-CRM-206 in OR)

🟢
Initial NPI Registration & Enumeration August 13, 2019

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: 1235785502
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2019
Last Update: August 20, 2025
Sole Proprietor: No

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.