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JACQUELINE MARTIN
NPI 1508313610
Counselor - Mental Health in Springfield, OR

Active since September 07, 2016Opted out of Medicare · through Mar 24, 2028
180 W B ST, BLDG B2, SPRINGFIELD, OR 97477(414) 232-6335(541) 299-5685 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jacqueline Martin NPPES

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

JACQUELINE MARTIN (NPI 1508313610) is an individual mental health provider in Springfield, Oregon and active in the NPI registry since September 2016. She has opted out of Medicare through March 24, 2028.

NPPES Registry Identity

NPI1508313610
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUELINE MARTIN
Location Address180 W B ST, BLDG B2Springfield, OR 97477
Mailing Address5411 E StSpringfield, OR 97478-6164 · (440) 665-5274
Phone(414) 232-6335
Fax(541) 299-5685
Sole ProprietorYes
Enumeration DateSeptember 7, 2016
Last NPPES UpdateMay 13, 2025
NPPES CertifiedMay 6, 2025
✔ NPI 1508313610 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
180 W B ST, Springfield, OR 97477
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jacqueline Martin 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 March 24, 2026 through March 24, 2028.

Opt-Out Effective DateMarch 24, 2026
Opt-Out In Effect ThroughMarch 24, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Martin's NPI number?

The NPI number for Jacqueline Martin is 1508313610. It was assigned to this individual provider in the NPPES registry on September 7, 2016.

Where is Jacqueline Martin located?

Jacqueline Martin practices at 180 W B St Bldg B2, Springfield, OR 97477. The listed phone number is (414) 232-6335.

What is Jacqueline Martin's specialty?

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

Is Jacqueline Martin enrolled in Medicare?

No. Jacqueline Martin has opted out of Medicare through March 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jacqueline Martin accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jacqueline Martin 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 Martin was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.