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KATHRYN JACOBSEN
NPI 1598197170
Counselor in Gresham, OR

Active since August 06, 2013PECOS Enrolled
2850 SE POWELL VALLEY RD, GRESHAM, OR 97080(503) 666-5050 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 13, 2026, Mar 30, 2025, Nov 11, 2023 and 4 more (7 updates tracked since 2021).

About Kathryn Jacobsen NPPES

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

KATHRYN JACOBSEN (NPI 1598197170) is an individual counselor in Gresham, Oregon, licensed in Oregon (C7632) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Happy Valley.

NPPES Registry Identity

NPI1598197170
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKATHRYN JACOBSEN
Location Address2850 SE POWELL VALLEY RDGresham, OR 97080-1494
Mailing AddressPo Box 3777Portland, OR 97208-3777
Phone(503) 666-5050
Sole ProprietorYes
Enumeration DateAugust 6, 2013
Last NPPES UpdateJanuary 13, 20267 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
✔ NPI 1598197170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OR · C7632
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2850 SE POWELL VALLEY RD, Gresham, OR 97080
Open in Google Maps ↗

Secondary Practice Location 1

Location 113203 SE 172ND AVE, STE 166 PMB 1115Happy Valley, OR 97086 · Phone (971) 231-4676

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Jacobsen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kathryn Jacobsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Legacy Clinics LLC
8.6 mi
Rural Health
36860 INDUSTRIAL WAY
Sandy, OR 97055
  • Reassigned Medicare billing, Oregon enrollment
  • 1,248 clinicians in this Medicare group
NPI 1730472192 (503) 826-0206

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.

DR. MARK ERIC HOSKO MD
General Practice
2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
Multnomah County (503) 666-5050
SOMMER VERLEY FNP-C
Nurse Practitioner
2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
Multnomah County (503) 666-5050
MR. BRANDON JEFFREY PARSONS PA-CERTIFIED
Physician Assistant
2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
Multnomah County (503) 666-5050
MRS. THERESA RENE JONES PA-C
Physician Assistant
2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
Multnomah County (503) 666-5050
BRYHANNA CHRISTINECHARLES MCCULLY PAC
Physician Assistant
2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
Multnomah County (503) 666-5050
VALLEYVIEW INJURY & PHYSICAL MEDICINE, PC
Preventive Medicine (Public Health & General Preventive Medicine)
2850 SE POWELL VALLEY RD, SUITE 205
GRESHAM, OR 97080
Multnomah County (503) 489-1998
ROBERT LOUIS FOX PA
Physician Assistant
2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
Multnomah County (503) 666-5050
JESSICA L CYPHERT PA-C
Physician Assistant
2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
Multnomah County (503) 666-5050

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 Kathryn Jacobsen's NPI number?

The NPI number for Kathryn Jacobsen is 1598197170. It was assigned to this individual provider in the NPPES registry on August 6, 2013.

Where is Kathryn Jacobsen located?

Kathryn Jacobsen practices at 2850 SE Powell Valley Rd, Gresham, OR 97080. The listed phone number is (503) 666-5050.

What is Kathryn Jacobsen's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Kathryn Jacobsen enrolled in Medicare?

Yes. Kathryn Jacobsen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathryn Jacobsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Jacobsen reassigns Medicare benefits to Legacy Clinics LLC (Sandy, 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 Kathryn Jacobsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathryn Jacobsen accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Kathryn Jacobsen 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 Kathryn Jacobsen was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.