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JESSICA MARIE BETTENDORF
NPI 1174051569
Counselor - Professional in Vancouver, WA

Active since May 30, 2017PECOS EnrolledAccepts Medicare Assignment
7507 NE 51ST ST, VANCOUVER, WA 98662(360) 906-1190 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 30, 2026, Dec 12, 2024, Nov 7, 2023 and 1 more (4 updates tracked since 2017).

About Jessica Marie Bettendorf NPPES

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

JESSICA MARIE BETTENDORF (NPI 1174051569) is an individual professional provider in Vancouver, Washington, licensed in Oregon (C11140) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Beaverton, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1174051569
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA MARIE BETTENDORF
Location Address7507 NE 51ST STVancouver, WA 98662-6007
Mailing Address7507 Ne 51st StVancouver, WA 98662-6007 · (360) 906-1190
Phone(360) 906-1190
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 30, 2017
Last NPPES UpdateJanuary 30, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2026
✔ NPI 1174051569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C11140
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 61456725 (WA), R8594 (OR), LH61588961 (WA)
7507 NE 51ST ST, Vancouver, WA 98662
Open in Google Maps ↗

Other Names 1

Other Name (5)Jessia Bettendorf

Secondary Practice Location 1

Location 11500 NW Bethany Blvd Ste 320Beaverton, OR 97006-5238 · Phone (503) 567-3260

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Marie Bettendorf is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406378603
PECOS Enrollment IDI20250318000279, I20250319002776
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 Jessica Bettendorf reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Western Psychological And Counseling Services LLC
Same address
Clinical
7507 NE 51ST ST
Vancouver, WA 98662
  • Reassigned Medicare billing, Washington and Oregon enrollments
  • Also billed through NPI 1912008178 (Oregon)
  • 225 clinicians in this Medicare group
NPI 1629345731 (360) 906-1190

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.

DANIEL R CLUNE LCSW
Social Worker (Clinical)
7507 NE 51ST ST
VANCOUVER, WA 98662
Clark County (360) 601-6184
SHELLY NICOL
Psychologist (Clinical)
7507 NE 51ST ST
VANCOUVER, WA 98662
Clark County (360) 906-1190
DR. LAUREN RILEY PSY.D.
Psychologist (Clinical)
7507 NE 51ST ST
VANCOUVER, WA 98662
Clark County (360) 906-1190
ADAM COLLIER HALL LMHCA
Counselor (Mental Health)
7507 NE 51ST ST
VANCOUVER, WA 98662
Clark County (360) 906-1190
LINDSAY BROOKE RANDALL PSYD
Psychologist
7507 NE 51ST ST
VANCOUVER, WA 98662
Clark County (512) 963-8282
MS. MARLA JOY CARMAN LPC, LMHC
Counselor (Mental Health)
7507 NE 51ST ST
VANCOUVER, WA 98662
Clark County (360) 906-1190
JUDITH E POTTS MA
Counselor (Mental Health)
7507 NE 51ST ST
VANCOUVER, WA 98662
Clark County (360) 906-1190
MARK W CLARK PSY.D.
Psychologist
7507 NE 51ST ST
VANCOUVER, WA 98662
Clark County (360) 906-1190

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 Jessica Bettendorf's NPI number?

The NPI number for Jessica Bettendorf is 1174051569. It was assigned to this individual provider in the NPPES registry on May 30, 2017. The provider is also known as Jessia Bettendorf.

Where is Jessica Bettendorf located?

Jessica Bettendorf practices at 7507 NE 51st St, Vancouver, WA 98662. The listed phone number is (360) 906-1190.

What is Jessica Bettendorf's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jessica Bettendorf enrolled in Medicare?

Yes. Jessica Bettendorf is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jessica Bettendorf's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Bettendorf reassigns Medicare benefits to Western Psychological And Counseling Services LLC (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 Jessica Bettendorf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Bettendorf accept?

Health plans from Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Jessica Bettendorf 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 Jessica Bettendorf was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.