JENNIFER LYNN GARLOCK MA
NPI 1043768732
Counselor in Portland, OR

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since September 12, 2016PECOS Enrolled

3415 SE POWELL BLVD, PORTLAND, OR 97202(503) 234-9591 Get Directions Write a Review

NPPES record last updated: September 12, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jennifer Lynn Garlock Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER LYNN GARLOCK MA (NPI 1043768732) is an individual counselor in Portland, Oregon and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043768732

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameJENNIFER LYNN GARLOCKCredential: MA

Location Address3415 SE POWELL BLVDPortland, OR 97202-3371

Mailing Address3415 Se Powell BlvdPortland, OR 97202-3371 · (503) 234-9591

Phone(503) 234-9591

Sole ProprietorNo

Enumeration DateSeptember 12, 2016

✔ NPI 1043768732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

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.

3415 SE POWELL BLVD, Portland, OR 97202

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jennifer Lynn Garlock Ma has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2026.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.