JENNIFER CROCKER LPC
NPI 1730548215
Counselor - Professional in Tigard, OR

Active since February 12, 2016PECOS EnrolledAccepts Medicare Assignment
11650 SW 67TH AVE, TIGARD, OR 97223(503) 308-9465 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 7, 2023, Jun 21, 2023, Feb 12, 2016 (3 updates tracked since 2016).

About Jennifer Crocker Lpc NPPES

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

JENNIFER CROCKER LPC (NPI 1730548215) is an individual professional provider in Tigard, Oregon, licensed in Oregon (C4884) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1730548215
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJENNIFER CROCKERCredential: LPC
Location Address11650 SW 67TH AVETigard, OR 97223-8589
Mailing Address11650 Sw 67th AveTigard, OR 97223-8589 · (503) 308-9465
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 12, 2016
Last NPPES UpdateSeptember 7, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
NPI 1730548215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OR · C4884
11650 SW 67TH AVE, Tigard, OR 97223

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 and accepts Medicare assignment

Jennifer Crocker Lpc 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 ID5597258533
PECOS Enrollment IDI20251208000890
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 3

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

Counselor (Mental Health)
11650 SW 67TH AVE
TIGARD, OR 97223
Social Worker (Clinical)
11650 SW 67TH AVE
TIGARD, OR 97223
Marriage & Family Therapist
11650 SW 67TH AVE
TIGARD, OR 97223

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 Jennifer Crocker's NPI number?

The NPI number for Jennifer Crocker is 1730548215. It was assigned to this individual provider in the NPPES registry on February 12, 2016.

Where is Jennifer Crocker located?

Jennifer Crocker practices at 11650 SW 67th Ave, Tigard, OR 97223. The listed phone number is (503) 308-9465.

What is Jennifer Crocker's specialty?

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

Is Jennifer Crocker enrolled in Medicare?

Yes. Jennifer Crocker 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 Jennifer Crocker accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jennifer Crocker 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 Jennifer Crocker was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.