MRS. JACQUELINE SHARIB LCSW
NPI 1356751283
Counselor - Mental Health in Prineville, OR

Active since April 30, 2014PECOS EnrolledAccepts Medicare Assignment
1333 NW 9TH ST, PRINEVILLE, OR 97754(541) 447-2631 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 15, 2020, Jan 31, 2020 (2 updates tracked since 2020).

About Mrs. Jacqueline Sharib Lcsw NPPES

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

MRS. JACQUELINE SHARIB LCSW (NPI 1356751283) is an individual mental health provider in Prineville, Oregon and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1356751283
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. JACQUELINE SHARIBCredential: LCSW
Location Address1333 NW 9TH STPrineville, OR 97754-1482
Mailing Address1333 Nw 9th StPrineville, OR 97754-1482 · (541) 447-2631
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 30, 2014
Last NPPES UpdateMarch 11, 20242 updates tracked since enumeration
NPPES CertifiedMarch 11, 2024
✔ NPI 1356751283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1333 NW 9TH ST, Prineville, OR 97754

Other Identifiers 1

Medicaid283234OR

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

Mrs. Jacqueline Sharib Lcsw 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 ID4880014836
PECOS Enrollment IDI20201014000001
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 Jacqueline Sharib reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Substance Abuse Treatment, Children
1333 NW 9TH ST
Prineville, OR 97754
  • Reassigned Medicare billing, Oregon enrollment
  • 12 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.

Case Manager/Care Coordinator
1333 NW 9TH ST
PRINEVILLE, OR 97754
Peer Specialist
1333 NW 9TH ST
PRINEVILLE, OR 97754
Counselor (Addiction (Substance Use Disorder))
1333 NW 9TH ST
PRINEVILLE, OR 97754
Counselor (Addiction (Substance Use Disorder))
1333 NW 9TH ST
PRINEVILLE, OR 97754
Case Manager/Care Coordinator
1333 NW 9TH ST
PRINEVILLE, OR 97754
Counselor (Mental Health)
1333 NW 9TH ST
PRINEVILLE, OR 97754
Counselor (Addiction (Substance Use Disorder))
1333 NW 9TH ST
PRINEVILLE, OR 97754
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
1333 NW 9TH ST
PRINEVILLE, OR 97754

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 Jacqueline Sharib's NPI number?

The NPI number for Jacqueline Sharib is 1356751283. It was assigned to this individual provider in the NPPES registry on April 30, 2014.

Where is Jacqueline Sharib located?

Jacqueline Sharib practices at 1333 NW 9th St, Prineville, OR 97754. The listed phone number is (541) 447-2631.

What is Jacqueline Sharib's specialty?

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

Is Jacqueline Sharib enrolled in Medicare?

Yes. Jacqueline Sharib 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 Jacqueline Sharib's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Sharib reassigns Medicare benefits to Rimrock Trails Treatment Services (Prineville, 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 Jacqueline Sharib's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Sharib accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jacqueline Sharib 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 Jacqueline Sharib was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.