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JACOB A GADBERY MS, LMHC
NPI 1104314699
Counselor - Mental Health in Spokane, WA

Active since April 30, 2018PECOS Enrolled
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208(509) 328-7041(509) 328-7582 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacob A Gadbery Ms, Lmhc NPPES

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

JACOB A GADBERY MS, LMHC (NPI 1104314699) is an individual mental health provider in Spokane, Washington and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104314699
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACOB A GADBERYCredential: MS, LMHC
Location Address3754 W INDIAN TRAIL RDSpokane, WA 99208-4736
Mailing Address3754 W Indian Trail RdSpokane, WA 99208-4736 · (509) 559-3100 · Fax (509) 588-7437
Phone(509) 328-7041
Fax(509) 328-7582
Sole ProprietorNo
Enumeration DateApril 30, 2018
Last NPPES UpdateNovember 28, 2023
NPPES CertifiedNovember 28, 2023
✔ NPI 1104314699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedRecreation TherapistTaxonomy 225800000X
3754 W INDIAN TRAIL RD, Spokane, WA 99208
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Other Identifiers 1

OtherCG60847607WA · Department Of Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob A Gadbery Ms, 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 Jacob Gadbery reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Excelsior Wellness
Same address
Mental Health (Including Community Mental Health Center)
3754 W INDIAN TRAIL RD
Spokane, WA 99208
  • Reassigned Medicare billing, Washington enrollment
  • 21 clinicians in this Medicare group
NPI 1326267055 (509) 328-7041

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 20

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

ANTONIO RAMIREZ RAMIREZ LCSWA
Social Worker
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Spokane County (509) 866-4112
CONNIE E O'NEEL MA
Counselor (Addiction (Substance Use Disorder))
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Spokane County (509) 328-7041
ANGELA JEWELL
Nurse's Aide
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Spokane County (509) 328-7041
LESLIE EMELY CORNEJO PEER SPECIALIST
Peer Specialist
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Spokane County (509) 559-3100
JESSICA LYNN ARENDS PEER SUPPORT SPECIAL
Peer Specialist
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Spokane County (509) 559-3100
ROCHELLE ELISE DANIELSON MA COUNSELING INTERN
Counselor
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Spokane County (509) 559-3100
ABIGALE GRACE KUKUK-BOWDEN CERTIFIED PEER SPEC
Peer Specialist
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Spokane County (509) 559-3100
CHRISTIE ANN RENNER
Peer Specialist
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Spokane County (509) 559-3100

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 Jacob Gadbery's NPI number?

The NPI number for Jacob Gadbery is 1104314699. It was assigned to this individual provider in the NPPES registry on April 30, 2018.

Where is Jacob Gadbery located?

Jacob Gadbery practices at 3754 W Indian Trail Rd, Spokane, WA 99208. The listed phone number is (509) 328-7041.

What is Jacob Gadbery's specialty?

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

Is Jacob Gadbery enrolled in Medicare?

Yes. Jacob Gadbery is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacob Gadbery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Gadbery reassigns Medicare benefits to Excelsior Wellness (Spokane, 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 Jacob Gadbery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Gadbery accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jacob Gadbery 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 Jacob Gadbery was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.