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

Q: 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.

Q: What is Jessica Bettendorf's specialty?

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

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: July 26, 2026.

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

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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

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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 BridgeSpan Health Company, Kaiser Permanente, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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)