MS. TIRZAH D JACOB LPC
NPI 1669497467
Counselor - Professional in Portland, OR

Active since July 13, 2006Opted out of Medicare · through Mar 10, 2027
6129 NE SKIDMORE ST, PORTLAND, OR 97218(503) 407-9232 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 1, 2023, Nov 12, 2020, Feb 8, 2017 (3 updates tracked since 2017).

About Ms. Tirzah D Jacob Lpc NPPES

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

MS. TIRZAH D JACOB LPC (NPI 1669497467) is an individual professional provider in Portland, Oregon, licensed in Oregon (C1780) and active in the NPI registry since July 2006. She has opted out of Medicare through March 10, 2027.

NPPES Registry Identity

NPI1669497467
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. TIRZAH D JACOBCredential: LPC
Location Address6129 NE SKIDMORE STPortland, OR 97218-2227
Mailing Address6129 Ne Skidmore StPortland, OR 97218-2227 · (503) 407-9232
Sole ProprietorNo
Enumeration DateJuly 13, 2006
Last NPPES UpdateJune 1, 20233 updates tracked since enumeration
NPPES CertifiedJune 1, 2023
NPI 1669497467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OR · C1780
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License C1780 (OR)
6129 NE SKIDMORE ST, Portland, OR 97218

Other Identifiers 5

Other030027OR · Oaid
Other1265740096OR · Bfhlpc
Other11607801OR · Caqh
Medicaid500601179OR
OtherC1780OR · State License

Accepted 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

Ms. Tirzah D Jacob Lpc 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 10, 2025 through March 10, 2027.

Opt-Out Effective DateMarch 10, 2025
Opt-Out In Effect ThroughMarch 10, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
6129 NE SKIDMORE ST
PORTLAND, OR 97218

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 Tirzah Jacob's NPI number?

The NPI number for Tirzah Jacob is 1669497467. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Tirzah Jacob located?

Tirzah Jacob practices at 6129 NE Skidmore St, Portland, OR 97218. The listed phone number is (503) 407-9232.

What is Tirzah Jacob's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Tirzah Jacob enrolled in Medicare?

No. Tirzah Jacob has opted out of Medicare through March 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Tirzah Jacob accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Tirzah Jacob 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 Tirzah Jacob was last updated on June 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.