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JACQUELYN PAOLA SANDOVAL LPC
NPI 1265176523
Counselor - Professional in Grants Pass, OR

Active since April 22, 2022PECOS EnrolledAccepts Medicare Assignment
1545 HARBECK RD, GRANTS PASS, OR 97527(541) 476-2373 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2026, Apr 22, 2022 (2 updates tracked since 2022).

About Jacquelyn Paola Sandoval Lpc NPPES

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

JACQUELYN PAOLA SANDOVAL LPC (NPI 1265176523) is an individual professional provider in Grants Pass, Oregon, licensed in Oregon (C11220) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (2016).

NPPES Registry Identity

NPI1265176523
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACQUELYN PAOLA SANDOVALCredential: LPC
Location Address1545 HARBECK RDGrants Pass, OR 97527-5605
Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373
Phone(541) 476-2373
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2016
Enumeration DateApril 22, 2022
Last NPPES UpdateFebruary 6, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
✔ NPI 1265176523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C11220
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1545 HARBECK RD, Grants Pass, OR 97527
Open in Google Maps ↗

Other Names 1

Former Name (1)Jacquelyn Paola Rodriguez

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., 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 and accepts Medicare assignment

Jacquelyn Paola Sandoval Lpc 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 ID9638650393
PECOS Enrollment IDI20260220003910
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 Jacquelyn Sandoval reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Options For Southern Oregon
Same address
Primary Care
1545 HARBECK RD
Grants Pass, OR 97527
  • Reassigned Medicare billing, Oregon enrollment
  • 125 clinicians in this Medicare group
NPI 1952708422 (541) 476-2373

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.

MOLLIE FAYE TERPENING LPC
Counselor (Professional)
1545 HARBECK RD
GRANTS PASS, OR 97527
Josephine County (541) 476-2373
NICO FOREST M.A., LPC
Counselor (Professional)
1545 HARBECK RD
GRANTS PASS, OR 97527
Josephine County (541) 476-2373
ALEXANDER BOGARD
Counselor (Mental Health)
1545 HARBECK RD
GRANTS PASS, OR 97527
Josephine County (541) 476-2373
MARY LINGENFELTER
Counselor (Professional)
1545 HARBECK RD
GRANTS PASS, OR 97527
Josephine County (541) 476-2373
DUSTI STARK
Counselor (Mental Health)
1545 HARBECK RD
GRANTS PASS, OR 97527
Josephine County (541) 476-2373
JEANNA SWANSON QMHA
Counselor (Mental Health)
1545 HARBECK RD
GRANTS PASS, OR 97527
Josephine County (541) 476-2373
LESLIE KIM RUSSO QMHP
Counselor (Mental Health)
1545 HARBECK RD
GRANTS PASS, OR 97527
Josephine County (541) 476-2373
NATASHA R ROBINSON QMHA
Counselor (Mental Health)
1545 HARBECK RD
GRANTS PASS, OR 97527
Josephine County (541) 476-2373

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 Jacquelyn Sandoval's NPI number?

The NPI number for Jacquelyn Sandoval is 1265176523. It was assigned to this individual provider in the NPPES registry on April 22, 2022. The provider is also known as Jacquelyn Paola Rodriguez.

Where is Jacquelyn Sandoval located?

Jacquelyn Sandoval practices at 1545 Harbeck Rd, Grants Pass, OR 97527. The listed phone number is (541) 476-2373.

What is Jacquelyn Sandoval's specialty?

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

Is Jacquelyn Sandoval enrolled in Medicare?

Yes. Jacquelyn Sandoval 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 Jacquelyn Sandoval's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Sandoval reassigns Medicare benefits to Options For Southern Oregon (Grants Pass, OR). 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 Jacquelyn Sandoval's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacquelyn Sandoval accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Jacquelyn Sandoval 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 Jacquelyn Sandoval was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.