JACOB ANDREW BADGER
NPI 1376262600
Counselor - Mental Health in Portland, OR
About Jacob Andrew Badger NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB ANDREW BADGER (NPI 1376262600) is an individual mental health provider in Portland, Oregon and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacob Andrew Badger is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97232
PORTLAND, OR 97232
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 Jacob Badger's NPI number?
The NPI number for Jacob Badger is 1376262600. It was assigned to this individual provider in the NPPES registry on August 22, 2022.
Where is Jacob Badger located?
Jacob Badger practices at 1839 NE Glisan St, Portland, OR 97232. The listed phone number is (503) 963-7676.
What is Jacob Badger's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jacob Badger enrolled in Medicare?
Yes. Jacob Badger is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jacob Badger was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.
# Jacob Andrew Badger · NPI 1376262600
Mental Health provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since August 22, 2022.
## Identity
- **NPI:** 1376262600 (Entity type: Individual)
- **Enumerated:** August 22, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 1839 NE GLISAN ST, Portland, OR 97232-2844
- **Phone:** (503) 963-7676
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** July 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1376262600) · Data from the CMS NPPES public registry.