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Active NPI 1285863894 Individual Practitioner Male Practitioner

Jesse Allen James , CL, SUDP, CGCS

Counselor - Professional • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Jesse James, CL, SUDP, CGCS is a registered healthcare professional specializing in Counselor - Professional in Vancouver, WA. Practice services are available at 6926 NE FOURTH PLAIN BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6926 Ne Fourth Plain Blvd

Vancouver, WA 986617254

Telephone 3609933000
Associated Practice Facility / Clinic
🏢 Hi School Pharmacy Inc Facility NPI 1871552455

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.6 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
43 Specialists

Practicing in Vancouver, WA (615 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: 2024-10-24
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License WA CL6109010

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License WA CP00006269

Definition to come...

Secondary Practice Locations

101 E 8th St Ste 110

Vancouver, WA 986603294

Phone: 3609802722

Practice Associates & Co-Workers

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

40 Associated Practitioners
Reece Lindley

Counselor - Mental Health

NPI 1003309485
Kayla-Ann Hawley , LICSW, SUDP

Social Worker - Clinical

NPI 1003326190

Licensed Independent Clinical Social Worker, SUDP

Yoselyne Manrero

Counselor - Mental Health

NPI 1003408030
Alyse Wright

Counselor - Mental Health

NPI 1003471483
Theresa Harwood

Peer Specialist

NPI 1003514357
NPI 1003694126

Career & Practice History Timeline

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

18 Historical Events
📍
Updated Practice Location January 24, 2022

Registered at 6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 986617254 (Tel: 3609933000)

📍
Updated Practice Location June 16, 2021

Registered at 101 E 8TH ST STE 110, VANCOUVER, WA 986603294 (Tel: 3609802722)

👤
Provider Name / Credentials Updated June 16, 2021

Recorded as JESSE JAMES, CL, SUDP, CGCS

📍
Updated Practice Location July 08, 2020

Registered at 315 W MILL PLAIN BLVD STE 200, VANCOUVER, WA 986603999 (Tel: 5094913031)

📍
Updated Business Mailing Address July 08, 2020

Registered at 408 SE 7TH ST, BATTLE GROUND, WA 986048372 (Tel: 3609802722)

👤
Provider Name / Credentials Updated July 08, 2020

Recorded as JESSE JAMES, SUDP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2020

Counselor (License #CP00006269 in WA)

✅
NPI Profile Active February 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 07, 2017

Registered at 7800 SW BARBUR BLVD STE 2&3, PORTLAND, OR 972192823 (Tel: 5034461821)

📍
Updated Business Mailing Address February 07, 2017

Registered at 7800 SW BARBUR BLVD STE 2&3, PORTLAND, OR 972192823 (Tel: 5034461821)

👤
Provider Name / Credentials Updated February 07, 2017

Recorded as JESSE JAMES, CADCII

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2017

Counselor (License #15-R-03 in OR)

✅
NPI Profile Active June 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 01, 2016

Registered at 6601 NE 78TH CT STE A3, PORTLAND, OR 972182823 (Tel: 5032523949)

📍
Updated Business Mailing Address June 01, 2016

Registered at 6601 NE 78TH CT STE A3, PORTLAND, OR 972182823 (Tel: 5032523949)

👤
Provider Name / Credentials Updated June 01, 2016

Recorded as JESSE JAMES, CADCII

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2016

Counselor (License #15-R-03 in OR)

🟢
Initial NPI Registration & Enumeration July 06, 2009

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: 1285863894
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2009
Last Update: October 24, 2024
Sole Proprietor: No
Update or Correct Profile

Mailing Address

408 Se 7th St

Battle Ground, WA 986048372

Phone: 3609802722

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.