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JAZMIN HOPE JACOBSON I LMHC
NPI 1063904225
Counselor - Mental Health in Vancouver, WA

Active since June 04, 2018PECOS Enrolled
7803 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98662(952) 746-5350 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 12, 2023, Aug 10, 2021 (2 updates tracked since 2021).

About Jazmin Hope Jacobson I Lmhc NPPES

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

JAZMIN HOPE JACOBSON I LMHC (NPI 1063904225) is an individual mental health provider in Vancouver, Washington, licensed in Washington (LH61428057) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Vancouver.

NPPES Registry Identity

NPI1063904225
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJAZMIN HOPE JACOBSON ICredential: LMHC
Location Address7803 NE FOURTH PLAIN BLVDVancouver, WA 98662-7294
Mailing AddressPo Box 34703Seattle, WA 98124-1703
Phone(952) 746-5350
Sole ProprietorNo
Enumeration DateJune 4, 2018
Last NPPES UpdateJuly 12, 20232 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1063904225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH61428057
7803 NE FOURTH PLAIN BLVD, Vancouver, WA 98662
Open in Google Maps ↗

Secondary Practice Location 1

Location 17803 NE Fourth Plain BlvdVancouver, WA 98662-7294 · Phone (952) 746-5350

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jazmin Hope Jacobson I Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jazmin Jacobson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Manor Care Of Salmon Creek Wa, Association
5.7 mi
Skilled Nursing Facility
2811 NE 139TH ST
Vancouver, WA 98686
  • Reassigned Medicare billing, Washington and Oregon enrollments
  • Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
  • Also billed through NPI 1093043424 (Oregon)
  • 2,534 clinicians in this Medicare group
NPI 1609171081 (360) 574-5247

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARA PATRICIA URQUIDEZ LOPEZ AAC
Counselor
7803 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98662
Clark County (360) 566-4432
JUSTINE MARIE LOUISE MINGS DNP, PMHNP-BC, ARNP
Nurse Practitioner (Psychiatric/Mental Health)
7803 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98662
Clark County (360) 566-4432
SEA MAR COMMUNITY HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
7803 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98662
Clark County (360) 768-9030
KIMBERLY MATHIS LMHC
Counselor (Mental Health)
7803 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98662
Clark County (360) 558-4432
SARAH SMITH LMHC, MA
Counselor (Mental Health)
7803 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98662
Clark County (360) 566-4432
AMY MOK PMHNP
Psychiatry & Neurology (Psychiatry)
7803 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98662
Clark County (586) 480-7000
SERGIO ARMANDO RIBERO MARULANDA
Counselor
7803 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98662
Clark County (360) 566-4432

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jazmin Jacobson's NPI number?

The NPI number for Jazmin Jacobson is 1063904225. It was assigned to this individual provider in the NPPES registry on June 4, 2018.

Where is Jazmin Jacobson located?

Jazmin Jacobson practices at 7803 NE Fourth Plain Blvd, Vancouver, WA 98662. The listed phone number is (952) 746-5350.

What is Jazmin Jacobson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jazmin Jacobson enrolled in Medicare?

Yes. Jazmin Jacobson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jazmin Jacobson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jazmin Jacobson reassigns Medicare benefits to Manor Care Of Salmon Creek Wa, Association (Vancouver, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jazmin Jacobson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jazmin Jacobson accept?

Health plans from Kaiser Permanente list Jazmin Jacobson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jazmin Jacobson was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.