Jennifer Samsom, MA
Jennifer Samsom, MA is a Mental Health Counselor in Portland, OR, registered under NPI 1003129115. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
Here is what surrounds this office in Portland, based on OpenStreetMap data collected Sep 7, 2026. Parking is available about 0.24 mi away. There is EV charging 0.47 mi from the office (Electrify America) — useful if you are driving in from out of town. The nearest transit stop is 0.27 mi away, served by Southwest 19th & Multnomah. A pharmacy sits 0.21 mi from the entrance (Safeway), which helps if you leave with a prescription. If you arrive early, there is a coffee shop 0.49 mi away.
Getting here and what is nearby
Parking 709 ft ~3 min
Parking 962 ft ~4 min
Pharmacy Safeway 0.21 mi ~5 min
8145 Southwest Barbur Boulevard, Portland 97219
Mo-Fr 09:00-21:00; Sa 09:00-18:00; Su 10:00-18:00
Grocery Safeway 0.22 mi ~5 min
8145 Southwest Barbur Boulevard, Portland 97219
06:00-24:00
Coffee Starbucks 0.23 mi ~5 min
Transit Southwest Barbur & Capitol Hill 0.24 mi ~5 min
Parking 0.24 mi ~5 min
Transit Southwest Barbur & 19th 0.26 mi ~6 min
Hotel Country in the City 0.26 mi ~6 min
Transit Southwest 19th & Multnomah 0.27 mi ~6 min
Convenience Tobacco Town 0.27 mi ~6 min
8200 Southwest Barbur Boulevard, Portland 97219
Mo-Sa 07:00-21:00; Su 08:00-20:00
Restaurant Momiji Sushi Restaurant - Barbur 0.27 mi ~6 min
Restaurant Vertical Diner 0.27 mi ~6 min
8124 Southwest Barbur Boulevard, Portland 97219
09:00-21:00
Gas station Fred Meyer 0.32 mi ~7 min
8420 Southwest 24th Avenue, Portland 97219
06:00-23:00
Restaurant Spunkey Monkey 0.34 mi ~7 min
Convenience 7-Eleven 0.42 mi ~9 min
EV charging Electrify America 0.47 mi ~10 min
Coffee Spielman Bagels 0.49 mi ~10 min
7713 Southwest Capitol Highway, 97219
Mo-Th 07:00-15:00; Fr-Su 07:00-16:00
Coffee Starbucks 0.49 mi ~10 min
Grocery Fred Meyer 0.52 mi ~11 min
7555 Southwest Barbur Boulevard, Portland 97219
07:00-23:00
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| C3886 | OR | Mental Health Counselor primary |
This provider holds licence C3886 issued in OR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Mental Health Counselor
- PAC ID
- 6204272305
- Enrollment ID
- I20240312001261
Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Mental Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 101YM0800X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | — | — | |
| 101YM0800X | Mental Health Counselor Mental Health | C3886 | OR | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003129115 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 17, 2010 |
| Last updated | Dec 12, 2022 |
| Status | Active |
| Sole proprietor | Yes |
| Gender | Female |
| Credential | MA |
| Practice address |
2245 SW TROY ST Portland, OR 97219 (503) 341-6393 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 1 | 2 | 9 | 1 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 2 | 2 | 9 | 1 | 2 |
Sum = 45 · next multiple of 10 = 50 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.