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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACOB MAINS QMHP
NPI 1619283041
Social Worker - Clinical in White City, OR

Active since August 23, 2010PECOS Enrolled
8495 CRATER LAKE HWY, WHITE CITY, OR 97503(541) 826-2111(541) 830-3518 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacob Mains Qmhp NPPES

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

JACOB MAINS QMHP (NPI 1619283041) is an individual clinical provider in White City, Oregon and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619283041
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJACOB MAINSCredential: QMHP
Location Address8495 CRATER LAKE HWYWhite City, OR 97503-3011
Mailing Address8495 Crater Lake HwyWhite City, OR 97503-3011 · (541) 826-2111 · Fax (541) 830-3518
Phone(541) 826-2111
Fax(541) 830-3518
Sole ProprietorNo
Enumeration DateAugust 23, 2010
Last NPPES UpdateOctober 23, 2026
NPPES CertifiedOctober 23, 2026
✔ NPI 1619283041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
8495 CRATER LAKE HWY, White City, OR 97503
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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 Mains Qmhp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.96 – $166.64
Typical copayment $0.00 (range $13.74 – $41.66)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

LAURA BLACKBURN MSW
Social Worker (Clinical)
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111
ADRIAN ANTHONY GARIBAY
Registered Nurse
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111
KANDICE DRAAYER RN
Registered Nurse (Psychiatric/Mental Health, Adult)
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111
WHITE CITY VAMC
General Acute Care Hospital
8495 CRATER LAKE HWY, VA SORCC
WHITE CITY, OR 97503
Jackson County (702) 341-3164
MR. KEVIN LEONARD WILLIAMS MSW, LCSW
Social Worker (Clinical)
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111
DR. ERIC GUSTAFSON PHARM.D.
Pharmacist
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111
LYN WAYNE SHEPERD
Registered Nurse
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111
JEAN EILEEN MOUNT
Nurse Practitioner (Adult Health)
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111

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 Mains's NPI number?

The NPI number for Jacob Mains is 1619283041. It was assigned to this individual provider in the NPPES registry on August 23, 2010.

Where is Jacob Mains located?

Jacob Mains practices at 8495 Crater Lake Hwy, White City, OR 97503. The listed phone number is (541) 826-2111.

What is Jacob Mains's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jacob Mains enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Mains was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.