What is Jackie Whitley's NPI number?

Jackie Whitley's National Provider Identifier (NPI) is 1164384509, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jackie Whitley's specialty?

Jackie Whitley is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Jackie Whitley located?

Jackie Whitley's practice location on file with NPPES is 1312 Sw Washington St, Portland, OR 97205-2327.

What is Jackie Whitley's phone number?

The practice phone number listed in the NPPES registry for Jackie Whitley is (503) 719-7985.

Is Jackie Whitley's NPI active?

Yes — Jackie Whitley's NPI (1164384509) is active in the NPPES registry as of the last update on 2025-11-24.

IndividualActive

Jackie Whitley

NPI 1164384509 · Mental Health Counselor · Portland, OR

Jackie Whitley is a Mental Health Counselor provider in Portland, OR (NPI 1164384509).

Provider details

NPI number: 1164384509
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800X
Behavioral Health & Social Service Providers

Profile Score

Basic profile(47/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1312 Sw Washington St

Portland, OR 97205-2327

Phone: (503) 719-7985

Street-level locationGet directions

More OR providers

Mailing address