MR. JACOB DICKINSON M.A.
NPI 1508015975
Marriage & Family Therapist in Beaverton, OR

Active since September 10, 2008PECOS Enrolled
9670 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005(971) 229-4009(866) 324-6009 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jacob Dickinson M.a. NPPES

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

MR. JACOB DICKINSON M.A. (NPI 1508015975) is an individual marriage & family therapist in Beaverton, Oregon, licensed in Oregon (T0845) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1508015975
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. JACOB DICKINSONCredential: M.A.
Location Address9670 SW BEAVERTON HILLSDALE HWYBeaverton, OR 97005-3307
Mailing Address10824 Se Oak St Ste 314Milwaukie, OR 97222-6694 · (971) 229-4009 · Fax (866) 324-6009
Fax(866) 324-6009
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 10, 2008
Last NPPES UpdateMay 27, 2026
NPPES CertifiedMay 27, 2026
NPI 1508015975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in OR · T0845
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License C2887 (OR)
9670 SW BEAVERTON HILLSDALE HWY, Beaverton, OR 97005

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)

Mr. Jacob Dickinson M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426492786
PECOS Enrollment IDI20250801003507
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 (Mental Health)
9670 SW BEAVERTON HILLSDALE HWY
BEAVERTON, OR 97005
Counselor (Professional)
9670 SW BEAVERTON HILLSDALE HWY
BEAVERTON, OR 97005
Marriage & Family Therapist
9670 SW BEAVERTON HILLSDALE HWY
BEAVERTON, OR 97005
Behavior Analyst
9670 SW BEAVERTON HILLSDALE HWY
BEAVERTON, OR 97005
Counselor (Mental Health)
9670 SW BEAVERTON HILLSDALE HWY
BEAVERTON, OR 97005
Counselor (Professional)
9670 SW BEAVERTON HILLSDALE HWY
BEAVERTON, OR 97005
Counselor (Addiction (Substance Use Disorder))
9670 SW BEAVERTON HILLSDALE HWY
BEAVERTON, OR 97005
Counselor (Professional)
9670 SW BEAVERTON HILLSDALE HWY
BEAVERTON, OR 97005

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 Dickinson's NPI number?

The NPI number for Jacob Dickinson is 1508015975. It was assigned to this individual provider in the NPPES registry on September 10, 2008.

Where is Jacob Dickinson located?

Jacob Dickinson practices at 9670 SW Beaverton Hillsdale Hwy, Beaverton, OR 97005. The listed phone number is (971) 229-4009.

What is Jacob Dickinson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jacob Dickinson enrolled in Medicare?

Yes. Jacob Dickinson is registered in the Medicare PECOS enrollment system.

What insurance does Jacob Dickinson accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Jacob Dickinson 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 Dickinson was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.