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DR. PATRICE ALANA JACOB PH.D.
NPI 1669919148
Counselor - Mental Health in Ridgefield, WA

Active since January 23, 2017PECOS EnrolledAccepts Medicare Assignment
1361 S 15TH WAY, RIDGEFIELD, WA 98642(360) 643-9217(503) 678-9751 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2020, Jan 23, 2017 (2 updates tracked since 2017).

About Dr. Patrice Alana Jacob Ph.d. NPPES

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

DR. PATRICE ALANA JACOB PH.D. (NPI 1669919148) is an individual mental health provider in Ridgefield, Washington, licensed in Washington (MC60704526) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Vancouver, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1669919148
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. PATRICE ALANA JACOBCredential: PH.D.
Location Address1361 S 15TH WAYRidgefield, WA 98642-7826
Mailing Address1361 S 15th WayRidgefield, WA 98642-7826 · (360) 643-9217 · Fax (503) 678-9751
Phone(360) 643-9217
Fax(503) 678-9751
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 23, 2017
Last NPPES UpdateJune 4, 20202 updates tracked since enumeration
NPPES CertifiedJune 4, 2020
✔ NPI 1669919148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · MC60704526
1361 S 15TH WAY, Ridgefield, WA 98642
Open in Google Maps ↗

Secondary Practice Location 1

Location 11104 Main St Ste 550GVancouver, WA 98660-2955 · Phone (855) 583-2842 · Fax (503) 678-9751

Other Identifiers 1

Medicaid2082041WA

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Patrice Alana Jacob Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486092533
PECOS Enrollment IDI20240409001452
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.

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 Patrice Jacob's NPI number?

The NPI number for Patrice Jacob is 1669919148. It was assigned to this individual provider in the NPPES registry on January 23, 2017.

Where is Patrice Jacob located?

Patrice Jacob practices at 1361 S 15th Way, Ridgefield, WA 98642. The listed phone number is (360) 643-9217.

What is Patrice Jacob's specialty?

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

Is Patrice Jacob enrolled in Medicare?

Yes. Patrice Jacob is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Patrice Jacob accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente and Regence BlueCross BlueShield of Oregon list Patrice 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 Patrice Jacob was last updated on June 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.