IndividualActive
Jacob Bassen
NPI 1790336220 · Mental Health Counselor · Portland, OR
Provider details
- NPI number
- 1790336220
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
811 Nw 20th Ave
Portland, OR 97209-1443
Phone: (503) 807-3917
Street-level locationGet directions
Mailing address
498 Se 10th Ave
Canby, OR 97013-8783
Registry dates
- Enumerated
- 2019-09-25
- Last updated
- 2019-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.