Jerry Keith , LPC
Counselor - Professional β’ Gladstone, OR
870 82nd Dr Bldg C
Gladstone, OR 970271803
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
870 82nd Dr Bldg C
Gladstone, OR 970271803
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Western Psychological And Counseling Services Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2019
What Public CMS Data Show
Counselor - Professional: NPPES taxonomy is a reported classification, not proof of board certification.
Years since graduation
7 years (graduated 2019)
CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2023
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Jerry Keith has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Jerry Keith as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Gladstone and Oregon
20 active clinicians are listed under Counselor - Professional with a practice address in Gladstone, OR (2,559 in Oregon).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Gladstone
10% of these 20 clinicians have the CMS telehealth indicator.
50% of these 20 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-11-08NUCC Taxonomy Code: 101YP2500X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - MENTAL HEALTH COUNSELOR
I20260123001030
OR
1658858394
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Western Psychological And Counseling Services Llc
870 Se 82 Dr, Gladstone, OR 97027
Phone: 5036595515
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Psychologist
Doctor of Philosophy (Ph.D.)
Psychologist - Clinical Child & Adolescent
Doctor of Philosophy (Ph.D.)
Psychiatry & Neurology - Child & Adolescent Psychiatry
Doctor of Medicine (M.D.)
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Psychologist - Clinical
Doctor of Psychology (Psy.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Recorded as JERRY KEITH, LPC
Counselor (license number reported to NPPES: OR C10718)
Registered at 870 82ND DR BLDG C, GLADSTONE, OR 970271803 (Tel: 5036595515)
Registered at 870 82ND DR BLDG C, GLADSTONE, OR 970271803 (Tel: 5413992729)
Recorded as JERRY KEITH, PCA
NPI status registered as active in NPPES database
Registered at 14448 SE BRIDGETON ST, CLACKAMAS, OR 970156270 (Tel: 5413992729)
Registered at 14448 SE BRIDGETON ST, CLACKAMAS, OR 970156270 (Tel: 5413992729)
Recorded as JERRY KEITH
Counselor (license number reported to NPPES: OR R8222)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
870 82nd Dr Bldg C
Gladstone, OR 970271803
Phone: 5413992729