MR. JACOB ALEXANDER TIMMERMAN MA
NPI 1629350095
Counselor in Vancouver, WA

Active since September 12, 2011PECOS Enrolled
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684(800) 813-2000 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jacob Alexander Timmerman Ma NPPES

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

MR. JACOB ALEXANDER TIMMERMAN MA (NPI 1629350095) is an individual counselor in Vancouver, Washington, licensed in Washington (LF60611773) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629350095
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. JACOB ALEXANDER TIMMERMANCredential: MA
Location Address12607 SE MILL PLAIN BLVDVancouver, WA 98684-6055
Mailing Address500 Ne Multnomah St Ste 100Portland, OR 97232-2031 · (800) 813-2000
Sole ProprietorNo
Enumeration DateSeptember 12, 2011
Last NPPES UpdateMarch 26, 2026
NPPES CertifiedMarch 26, 2026
NPI 1629350095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Licenses Licensed in WA · LF60611773 Licensed in OR · T1006
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 · License LF60611773 (WA), T1006 (OR)
12607 SE MILL PLAIN BLVD, Vancouver, WA 98684

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 Alexander Timmerman Ma 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.

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 (Addiction (Substance Use Disorder))
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Student in an Organized Health Care Education/Training Program
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Optometrist
12607 SE MILL PLAIN BLVD, KAISER PERMANENTE CASCADE PARK MEDICAL FACILITY
VANCOUVER, WA 98684
Counselor (Mental Health)
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Social Worker (Clinical)
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Family Medicine
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Family Medicine
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684

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 Timmerman's NPI number?

The NPI number for Jacob Timmerman is 1629350095. It was assigned to this individual provider in the NPPES registry on September 12, 2011.

Where is Jacob Timmerman located?

Jacob Timmerman practices at 12607 SE Mill Plain Blvd, Vancouver, WA 98684. The listed phone number is (800) 813-2000.

What is Jacob Timmerman's specialty?

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

Is Jacob Timmerman enrolled in Medicare?

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

What insurance does Jacob Timmerman accept?

Health plans from Kaiser Permanente list Jacob Timmerman 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 Timmerman was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.