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Kathryn Jacobsen

Counselor β€’ Gresham, OR

Active NPI 1598197170 Individual Practitioner Female Practitioner
Practice location in NPPES

2850 Se Powell Valley Rd
Gresham, OR 970801494

Call 5036665050 Location details and other listings
Medical Disclaimer

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

Practice Address

2850 Se Powell Valley Rd

Gresham, OR 970801494

Telephone 5036665050
Organization at the Same NPPES Address or Phone
Urgent Care Nw Gresham Pc Facility NPI 1336128321

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Happy Valley, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2013

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kathryn Jacobsen 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Kathryn Jacobsen as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Gresham and Oregon

38 active clinicians are listed under Counselor with a practice address in Gresham, OR (4,471 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gresham

0% of these 38 clinicians have the CMS telehealth indicator.

2.6% of these 38 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: 2026-01-13
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES OR C7632

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20250612003264

Enrollment State Jurisdiction

OR

PECOS Control ID

9830532894

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

13203 Se 172nd Ave, Ste 166 Pmb 1115

Happy Valley, OR 97086

Phone: 9712314676

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

36 listed
Corbin Allred , PA-C

Physician Assistant

NPI 1306256359

Physician Assistant (Certified)

Jessica Barbosa , PA-C

Physician Assistant

NPI 1326391269

Physician Assistant (Certified)

Adam Bartling , PA-C

Physician Assistant

NPI 1427550367

Physician Assistant (Certified)

Gina Bawden , PA-C

Physician Assistant

NPI 1245414978

Physician Assistant (Certified)

Margeaux Brooks , PA

Physician Assistant

NPI 1427584077

Physician Assistant

Jessica Cyphert , PA-C

Physician Assistant

NPI 1205507662

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

20 Historical Events
πŸ“
Updated Practice Location April 22, 2025

Registered at 2850 SE POWELL VALLEY RD, GRESHAM, OR 970801494 (Tel: 5036665050)

πŸ“
Updated Business Mailing Address April 22, 2025

Registered at PO BOX 3777, PORTLAND, OR 972083777

πŸ“
Updated Practice Location March 30, 2025

Registered at 13203 SE 172ND AVE, STE 166 PMB 1115, HAPPY VALLEY, OR 97086 (Tel: 9712314676)

πŸ“
Updated Business Mailing Address March 30, 2025

Registered at 13203 SE 172ND AVE, STE 166 PMB 1115, HAPPY VALLEY, OR 97086 (Tel: 9712314676)

πŸ‘€
Provider Name / Credentials Updated March 30, 2025

Recorded as KATHRYN JACOBSEN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2025

Counselor

πŸ“
Updated Practice Location November 11, 2023

Registered at 6436 S QUEBEC ST STE 110C, CENTENNIAL, CO 801117608 (Tel: 7205908980)

πŸ“
Updated Business Mailing Address November 11, 2023

Registered at 201 ALSTON BLVD STE C, #505, HAMPSTEAD, NC 284437002 (Tel: 9198095887)

πŸ“
Updated Practice Location October 04, 2023

Registered at 37400 BELL ST, SANDY, OR 970557868 (Tel: 9712202701)

πŸ“
Updated Business Mailing Address October 04, 2023

Registered at 13203 SE 172ND AVE STE 166, HAPPY VALLEY, OR 970868738 (Tel: 3195200238)

πŸ“
Updated Practice Location November 24, 2021

Registered at 6436 S QUEBEC ST STE 110C, CENTENNIAL, CO 801117608 (Tel: 7205908980)

πŸ“
Updated Business Mailing Address November 24, 2021

Registered at PO BOX 217, CASTLE ROCK, CO 801040217 (Tel: 3195200238)

πŸ‘€
Provider Name / Credentials Updated November 24, 2021

Recorded as KATHRYN SWINTECK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 24, 2021

Counselor (license number reported to NPPES: VT 068.0134424)

βœ…
NPI Profile Active August 06, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 06, 2013

Registered at 1522 MORGAN ST, KEOKUK, IA 526324028 (Tel: 3195240510)

πŸ“
Business Mailing Address (Initial Record) August 06, 2013

Registered at 1522 MORGAN ST, KEOKUK, IA 526324028 (Tel: 3195240510)

πŸ‘€
Provider Name / Credentials (Initial Record) August 06, 2013

Recorded as KATHRYN BASS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2013

Counselor (license number reported to NPPES: IA 001617)

🟒
Initial NPI Registration & Enumeration August 06, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1598197170
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 06, 2013
Last Update: January 13, 2026
Sole Proprietor: Yes

Mailing Address

Po Box 3777

Portland, OR 972083777

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.