JEFF JACOBSON MA
NPI 1194069294
Counselor - Mental Health in Bremerton, WA
About Jeff Jacobson Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFF JACOBSON MA (NPI 1194069294) is an individual mental health provider in Bremerton, Washington, licensed in Washington (MC60308817) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Jeff Jacobson Ma 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.
Medicare Billing Reassignment
Medicare enrollment records show Jeff Jacobson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Poulsbo, WA 98370
- Reassigned Medicare billing, Washington enrollment
- 10 clinicians in this Medicare group
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.
BREMERTON, WA 98311
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 Jeff Jacobson's NPI number?
The NPI number for Jeff Jacobson is 1194069294. It was assigned to this individual provider in the NPPES registry on November 15, 2012.
Where is Jeff Jacobson located?
Jeff Jacobson practices at 5455 Almira Dr NE, Bremerton, WA 98311. The listed phone number is (360) 373-5031.
What is Jeff Jacobson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jeff Jacobson enrolled in Medicare?
Yes. Jeff Jacobson 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 Jeff Jacobson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeff Jacobson reassigns Medicare benefits to Front Street Clinic Inc (Poulsbo, 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 Jeff Jacobson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeff Jacobson accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jeff 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 Jeff Jacobson was last updated on November 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Jeff Jacobson, MA · NPI 1194069294
Mental Health provider in Bremerton, Washington. Individual provider, active in the CMS NPPES registry since November 15, 2012.
## Identity
- **NPI:** 1194069294 (Entity type: Individual)
- **Enumerated:** November 15, 2012
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MC60308817 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 5455 ALMIRA DR NE, Bremerton, WA 98311-8330
- **Phone:** (360) 373-5031
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Front Street Clinic Inc (NPI 1457532913, Poulsbo, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** November 15, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1194069294) · Data from the CMS NPPES public registry.