JADE M BOSTWICK
NPI 1336872407
Counselor - Mental Health in Dallas, OR

Active since July 06, 2022Opted out of Medicare · through Nov 17, 2027
182 SW ACADEMY ST, DALLAS, OR 97338(503) 623-9289 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jade M Bostwick NPPES

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

JADE M BOSTWICK (NPI 1336872407) is an individual mental health provider in Dallas, Oregon and active in the NPI registry since July 2022. She has opted out of Medicare through November 17, 2027.

NPPES Registry Identity

NPI1336872407
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJADE M BOSTWICK
Location Address182 SW ACADEMY STDallas, OR 97338-1996
Mailing Address4274 Pauline Ave SeSalem, OR 97302-5739 · (415) 941-8014
Sole ProprietorNo
Enumeration DateJuly 6, 2022
Last NPPES UpdateOctober 28, 2024
NPPES CertifiedOctober 28, 2024
NPI 1336872407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselorTaxonomy 101Y00000X
182 SW ACADEMY ST, Dallas, OR 97338

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jade M Bostwick has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 17, 2025 through November 17, 2027.

Opt-Out Effective DateNovember 17, 2025
Opt-Out In Effect ThroughNovember 17, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

Case Manager/Care Coordinator
182 SW ACADEMY ST
DALLAS, OR 97338
Peer Specialist
182 SW ACADEMY ST
DALLAS, OR 97338
Counselor
182 SW ACADEMY ST, SUITE 304
DALLAS, OR 97338
Counselor (Mental Health)
182 SW ACADEMY ST, STE 304
DALLAS, OR 97338
Social Worker
182 SW ACADEMY ST
DALLAS, OR 97338
Counselor (Mental Health)
182 SW ACADEMY ST
DALLAS, OR 97338
Peer Specialist
182 SW ACADEMY ST
DALLAS, OR 97338
Counselor (Addiction (Substance Use Disorder))
182 SW ACADEMY ST, SUITE 304
DALLAS, OR 97338

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 Jade Bostwick's NPI number?

The NPI number for Jade Bostwick is 1336872407. It was assigned to this individual provider in the NPPES registry on July 6, 2022.

Where is Jade Bostwick located?

Jade Bostwick practices at 182 SW Academy St, Dallas, OR 97338. The listed phone number is (503) 623-9289.

What is Jade Bostwick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jade Bostwick enrolled in Medicare?

No. Jade Bostwick has opted out of Medicare through November 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jade Bostwick was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.