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JACOB ANDREW BADGER
NPI 1376262600
Counselor - Mental Health in Portland, OR

Active since August 22, 2022PECOS Enrolled
1839 NE GLISAN ST, PORTLAND, OR 97232(503) 963-7676 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 22, 2026, Aug 22, 2022 (2 updates tracked since 2022).

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 and is a graduate of Other (2023).

NPPES Registry Identity

NPI1376262600
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACOB ANDREW BADGER
Location Address1839 NE GLISAN STPortland, OR 97232-2844
Mailing AddressPo Box 8459Portland, OR 97207-8459
Phone(503) 963-7676
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 22, 2022
Last NPPES UpdateJuly 22, 20262 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1376262600 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 ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License L18183 (OR)
1839 NE GLISAN ST, Portland, OR 97232
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Andrew Badger is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537624549
PECOS Enrollment IDI20260721001579
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 Jacob Badger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cascadia Health
0.2 mi
Multi-Specialty
847 NE 19TH
Portland, OR 97232
  • Reassigned Medicare billing, Oregon enrollment
  • 79 clinicians in this Medicare group
NPI 1336196401 (503) 238-0769

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 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARISSA FLORA FIELDS
Counselor (Mental Health)
1839 NE GLISAN ST
PORTLAND, OR 97232
Multnomah County (503) 963-7676
JESSICA ANYA RIANO
Student in an Organized Health Care Education/Training Program
1839 NE GLISAN ST
PORTLAND, OR 97232
Multnomah County (503) 238-0769
GUY HANSEN
Peer Specialist
1839 NE GLISAN ST
PORTLAND, OR 97232
Multnomah County (503) 963-7676
DANIE MARIE MEYER LCSW
Social Worker (Clinical)
1839 NE GLISAN ST
PORTLAND, OR 97232
Multnomah County (971) 963-7676
BLAKE ANTHONY DAVIDSON
Counselor (Addiction (Substance Use Disorder))
1839 NE GLISAN ST
PORTLAND, OR 97232
Multnomah County (503) 963-7676
JACOB ADAM METCALF
Registered Nurse
1839 NE GLISAN ST
PORTLAND, OR 97232
Multnomah County (503) 963-7676
KA LAI LEE
Counselor (Mental Health)
1839 NE GLISAN ST
PORTLAND, OR 97232
Multnomah County (503) 238-0769
GREGORY DOUGLAS YORK
Social Worker (Clinical)
1839 NE GLISAN ST
PORTLAND, OR 97232
Multnomah County (503) 963-7676

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.

Which organization bills Medicare for Jacob Badger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Badger reassigns Medicare benefits to Cascadia Health (Portland, 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 Jacob Badger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Badger accept?

Health plans from Moda Health Plan, Inc. list Jacob Badger 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 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 3 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.