JENNIFER MICHELLE ROHOLT NPI 1942613112

NPI Information

  • NPI: 1942613112
  • Provider Name: JENNIFER MICHELLE ROHOLT
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 18911 PORTLAND AVE
    GLADSTONE, OR
    ZIP 97027
  • Phone: (503) 556-8471

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NPI Details

Jennifer Michelle Roholt is a mental health counselor in Gladstone, OR with 11 years of experience. Jennifer Michelle Roholt NPI is 1942613112. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18911 PORTLAND AVE
GLADSTONE, OR
ZIP 97027-630
Phone: (503) 556-8471
Fax: (503) 722-6810

The NPI 1942613112 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/5/2014 and was last updated on 1/15/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes
2106H00000XMarriage & Family TherapistNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1106H00000XOTHEROREGONMCFT
2500691598MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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