Individual provider

Deforrest Jackson, CADC-1

Addiction (Substance Use Disorder) Counselor

Deforrest Jackson, CADC-1 is an Addiction (Substance Use Disorder) Counselor in Portland, OR, registered under NPI 1194356618.

Getting there

The practice address on file is 12670 NW BARNES RD STE 200, Portland, OR 97229. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

12670 NW BARNES RD STE 200, Portland, OR 97229 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
T-20-047 OR Addiction (Substance Use Disorder)… primary

This provider holds licence T-20-047 issued in OR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Addiction (Substance Use Disorder) covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YA0400X
Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder)

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.

NPI1194356618 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateFeb 3, 2020
Last updatedMar 3, 2022
StatusActive
Sole proprietorNo
CredentialCADC-1
Practice address 12670 NW BARNES RD STE 200
Portland, OR 97229
(971) 232-3850
Mailing address 11400 SE 90TH AVE APT 1424
Happy Valley, OR 97086
The last update on file is Mar 3, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1194356618 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
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 1 9 4 3 5 6 6 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 9 4 6 5 3 6 2

Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8

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.

Common questions

What is NPI number 1194356618?
NPI 1194356618 is the National Provider Identifier assigned to Deforrest Jackson, CADC-1 in Portland, OR. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Addiction (Substance Use Disorder) cover?
Definition to come...
How do I contact Deforrest Jackson, CADC-1?
The phone number on file with NPPES is (971) 232-3850, last updated Mar 3, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1194356618 a valid number?
Yes. 1194356618 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.