IndividualActive
Jessica Broderick
NPI 1184091530 · Mental Health Counselor · Portland, OR
Jessica Broderick is a Mental Health Counselor provider in Portland, OR (NPI 1184091530).
Provider details
- NPI number
- 1184091530
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES 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
3415 Se Powell Blvd
Portland, OR 97202-3371
Phone: (503) 234-9591
Street-level locationGet directions
Mailing address
3415 Se Powell Blvd
Portland, OR 97202-3371
Registry dates
- Enumerated
- 2015-09-01
- Last updated
- 2015-09-01
Frequently asked questions
- What is Jessica Broderick's NPI number?
- Jessica Broderick's National Provider Identifier (NPI) is 1184091530, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Broderick's specialty?
- Jessica Broderick is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jessica Broderick located?
- Jessica Broderick's practice location on file with NPPES is 3415 Se Powell Blvd, Portland, OR 97202-3371.
- What is Jessica Broderick's phone number?
- The practice phone number listed in the NPPES registry for Jessica Broderick is (503) 234-9591.
- Is Jessica Broderick's NPI active?
- Yes — Jessica Broderick's NPI (1184091530) is active in the NPPES registry as of the last update on 2015-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.