JACOB DAVID STARK
NPI 1225863897
Counselor - Mental Health in Portland, OR

NPI Status: Active since September 04, 2024

Contact Information

10373 NE HANCOCK ST STE 200
PORTLAND, OR
ZIP 97220
Phone: (503) 253-6754

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  • Individual
  • Male
  • Counselor
  • Mental Health

About JACOB STARK

This page provides the complete NPI Profile along with additional information for Jacob Stark, a provider established in Portland, Oregon with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1225863897 assigned on September 2024. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1225863897
Provider Name
JACOB DAVID STARK
Gender
Male
Entity Type
Individual
Location Address
10373 NE HANCOCK ST STE 200 PORTLAND, OR 97220
Location Phone
(503) 253-6754
Mailing Address
PO BOX 8459 PORTLAND, OR 97207
Mailing Phone
(503) 238-0769
Is Sole Proprietor?
No
Enumeration Date
09-04-2024
Last Update Date
09-04-2024
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A mental health counselor like Jacob Stark provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1225863897
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22451666818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 4 + 5 + 1 + 6 + 6 + 6 + 8 + 1 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1225863897 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598803728MS. LAURA HELLER LCSW
Individual
Social Worker (Clinical)10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220
(503) 261-6178
1881713972 JOCELYN RUBY PEACOCK-JOHNSON BS
Individual
Counselor (Mental Health)10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220
(503) 261-6155
1497952469 NICOLE FRICANO
Individual
Counselor (Mental Health)10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220
(503) 261-6137
1457528630 SARAH REBECCAH RICHARDSON
Individual
Counselor (Addiction (Substance Use Disorder))10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220
(503) 253-6754
1225288046 LINDZEE ELIZABETH CHICAS
Individual
Counselor (Mental Health)10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220
(503) 261-6131
1972870129 LAUREN ELIZABETH SUNDBY
Individual
Case Manager/Care Coordinator10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220
(503) 253-6754
1962772723 ERIN BUSBY LMSW
Individual
Counselor (Mental Health)10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220
(503) 253-6754
1679844278 STEPHEN CHRISTOPHER ARNOLD MSW, CSWA
Individual
Social Worker10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220
(503) 253-6754
1275803033 CHRISTOPHER MICHAEL MURRAY LCSW, CADC I
Individual
Social Worker (Clinical)10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220
(503) 253-6754
1003175332 EVELYN REESE ACOPAN MA
Individual
Counselor (Mental Health)10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220
(503) 253-6754
1720481633 VALERIE GARST LPC
Individual
Counselor (Professional)10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220
(503) 253-6754
1023655545MISS CYNTHIA ROSAURA VIDES-GUERRA
Individual
Case Manager/Care Coordinator10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220
(503) 253-6754
1306205729 TAMIKA TYRELL MOTTON CADC II, CRM, PSS
Individual
Counselor (Addiction (Substance Use Disorder))10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220
(503) 253-6754
1316465438 CANDYCE MONTELEONE
Individual
Counselor (Mental Health)10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220
(503) 238-0769
1619501988 JENNIFER L MONTPETIT
Individual
Counselor (Mental Health)10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220
(503) 253-6754
1669814711DR. KATHARINE MARY ELENA FRISSORA DNP, PMHNP-BC, RN
Individual
Nurse Practitioner (Psychiatric/Mental Health)10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220
(503) 253-6754
1457366957 ELLEN GALE MADNICK MD
Individual
Internal Medicine10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220
(503) 253-6754
1487859963 SARA CATHERINE DEWITT
Individual
Counselor (Professional)10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220
(503) 253-6754
1144896473CASCADIA BEHAVIORAL HEALTHCARE, INC.
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220
(503) 253-6754
1215599303MRS. KRISTIN MOLINA PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220
(503) 253-6754

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225863897, enumerated in the NPI registry as an "individual" on September 04, 2024

The provider is located at 10373 Ne Hancock St Ste 200 Portland, Or 97220 and the phone number is (503) 253-6754

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

This NPI record was last updated on September 04, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.