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

Active since April 22, 2022PECOS Enrolled
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: July 26, 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
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

Other Names 1

Former Name (1)Jacquelyn Paola Rodriguez

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jacquelyn Paola Sandoval Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Counselor (Professional)
1545 HARBECK RD
GRANTS PASS, OR 97527
Counselor (Professional)
1545 HARBECK RD
GRANTS PASS, OR 97527
Counselor (Mental Health)
1545 HARBECK RD
GRANTS PASS, OR 97527
Counselor (Professional)
1545 HARBECK RD
GRANTS PASS, OR 97527
Counselor (Mental Health)
1545 HARBECK RD
GRANTS PASS, OR 97527
Counselor (Mental Health)
1545 HARBECK RD
GRANTS PASS, OR 97527
Counselor (Mental Health)
1545 HARBECK RD
GRANTS PASS, OR 97527
Counselor (Mental Health)
1545 HARBECK RD
GRANTS PASS, OR 97527

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 enrollment system.

What insurance does Jacquelyn Sandoval accept?

Health plans from Moda Health Plan, Inc. 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 with the weekly NPPES data releases published by CMS.