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JACQUELYN DALTON PHD, CRC, NCC, LPC
NPI 1801468293
Counselor - Professional in Portland, OR

Active since July 14, 2021PECOS EnrolledAccepts Medicare Assignment
812 SW WASHINGTON ST STE 700, PORTLAND, OR 97205(503) 482-9590 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 3, 2024, Jul 14, 2021 (2 updates tracked since 2021).

About Jacquelyn Dalton Phd, Crc, Ncc, Lpc NPPES

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

JACQUELYN DALTON PHD, CRC, NCC, LPC (NPI 1801468293) is an individual professional provider in Portland, Oregon, licensed in Oregon (C7602) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2007).

NPPES Registry Identity

NPI1801468293
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACQUELYN DALTONCredential: PHD, CRC, NCC, LPC
Location Address812 SW WASHINGTON ST STE 700Portland, OR 97205-3200
Mailing Address7175 Sw Ivy Ln Apt 37Portland, OR 97225-1159 · (601) 520-3224
Phone(503) 482-9590
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2007
Enumeration DateJuly 14, 2021
Last NPPES UpdateDecember 3, 20242 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
✔ NPI 1801468293 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 · C7602
Also ListedRehabilitation CounselorTaxonomy 225C00000X
812 SW WASHINGTON ST STE 700, Portland, OR 97205
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacquelyn Dalton Phd, Crc, Ncc, 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 ID4981137593
PECOS Enrollment IDI20241104001292
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.

Medicare Billing Reassignment

Medicare enrollment records show Jacquelyn Dalton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Larsen Sanchez Psychology, LLC
1.4 mi
Clinical
905 SE 14TH AVE
Portland, OR 97214
  • Reassigned Medicare billing, Oregon enrollment
  • 60 clinicians in this Medicare group
NPI 1588041388 (503) 622-8964

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 15

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

NIKITA RAMAKRISHNAN PH.D.
Psychologist
812 SW WASHINGTON ST STE 700
PORTLAND, OR 97205
Multnomah County (503) 622-8964
MISS NYLIAM DORYVETTE LOYOLA MS
Counselor (Mental Health)
812 SW WASHINGTON ST STE 700
PORTLAND, OR 97205
Multnomah County (503) 622-8964
DR. MARK IRA RECK PSYD
Psychologist (Clinical)
812 SW WASHINGTON ST STE 700
PORTLAND, OR 97205
Multnomah County (503) 622-8964
ELISABETH LOUISE HAND MA
Counselor (Mental Health)
812 SW WASHINGTON ST STE 700
PORTLAND, OR 97205
Multnomah County (503) 622-8964
BRIGID BELLO MSW
Social Worker (Clinical)
812 SW WASHINGTON ST STE 700
PORTLAND, OR 97205
Multnomah County (503) 622-8964
BEN PRITCHARD
Psychologist
812 SW WASHINGTON ST STE 700
PORTLAND, OR 97205
Multnomah County (503) 622-8964
EZTRELLA TOWA ARMIJO
Counselor (Mental Health)
812 SW WASHINGTON ST STE 700
PORTLAND, OR 97205
Multnomah County (503) 622-8964
ANNA STEPANOVA LCSW
Social Worker (Clinical)
812 SW WASHINGTON ST STE 700
PORTLAND, OR 97205
Multnomah County (503) 231-7480

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 Jacquelyn Dalton's NPI number?

The NPI number for Jacquelyn Dalton is 1801468293. It was assigned to this individual provider in the NPPES registry on July 14, 2021.

Where is Jacquelyn Dalton located?

Jacquelyn Dalton practices at 812 SW Washington St Ste 700, Portland, OR 97205. The listed phone number is (503) 482-9590.

What is Jacquelyn Dalton's specialty?

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

Is Jacquelyn Dalton enrolled in Medicare?

Yes. Jacquelyn Dalton 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.

Which organization bills Medicare for Jacquelyn Dalton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Dalton reassigns Medicare benefits to Larsen Sanchez Psychology, LLC (Portland, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacquelyn Dalton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacquelyn Dalton accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Jacquelyn Dalton 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 Jacquelyn Dalton was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.