IndividualActive
Jaelithe Formway-Nelson
NPI 1336679448 · Mental Health Counselor · Tigard, OR
Jaelithe Formway-Nelson is a Mental Health Counselor provider in Tigard, OR (NPI 1336679448).
Provider details
- NPI number
- 1336679448
- 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(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
8915 Sw Center St.
Tigard, OR 97223
Phone: (503) 726-3690
Street-level locationGet directions
Mailing address
8915 Sw Center St
Tigard, OR 97223-6307
Registry dates
- Enumerated
- 2017-06-13
- Last updated
- 2022-07-21
Frequently asked questions
- What is Jaelithe Formway-Nelson's NPI number?
- Jaelithe Formway-Nelson's National Provider Identifier (NPI) is 1336679448, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaelithe Formway-Nelson's specialty?
- Jaelithe Formway-Nelson is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jaelithe Formway-Nelson located?
- Jaelithe Formway-Nelson's practice location on file with NPPES is 8915 Sw Center St., Tigard, OR 97223.
- What is Jaelithe Formway-Nelson's phone number?
- The practice phone number listed in the NPPES registry for Jaelithe Formway-Nelson is (503) 726-3690.
- Is Jaelithe Formway-Nelson's NPI active?
- Yes — Jaelithe Formway-Nelson's NPI (1336679448) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.