Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JUSTIN JACOBS
NPI 1801522420
Psychologist - Clinical in Clackamas, OR

Q: What is Justin Jacobs's NPI number?

The NPI number for Justin Jacobs is 1801522420. It was assigned to this individual provider in the NPPES registry on July 26, 2022.

Q: What is Justin Jacobs's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Justin Jacobs was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.

Active since July 26, 2022

10151 SE SUNNYSIDE RD STE 480, CLACKAMAS, OR 97015(971) 915-0046 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2026, Sep 10, 2024, Sep 6, 2024 and 2 more (5 updates tracked since 2022).

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About Justin Jacobs NPPES

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

JUSTIN JACOBS (NPI 1801522420) is an individual clinical provider in Clackamas, Oregon, licensed in Oregon (4321) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1801522420

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameJUSTIN JACOBS

Location Address10151 SE SUNNYSIDE RD STE 480Clackamas, OR 97015-5705

Mailing Address10151 Se Sunnyside Rd Ste 480Clackamas, OR 97015-5705 · (971) 915-0046

Phone(971) 915-0046

Sole ProprietorNo

Enumeration DateJuly 26, 2022

Last NPPES UpdateJuly 30, 20265 updates tracked since enumeration

NPPES CertifiedJuly 30, 2026

✔ NPI 1801522420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in OR · 4321✔ Licensed in OR · R272

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

10151 SE SUNNYSIDE RD STE 480, Clackamas, OR 97015

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Other Providers at the Same Location NPPES 10

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

ROXANNE MARIE JACKSON MSW, CSWA

Social Worker (Clinical)

10151 SE SUNNYSIDE RD STE 480
CLACKAMAS, OR 97015

Clackamas County (503) 739-8321

MS. MARSHA SUSAN LEONARD M.F.T.

Marriage & Family Therapist

10151 SE SUNNYSIDE RD STE 480
CLACKAMAS, OR 97015

Clackamas County (415) 499-6894

DRAKE MYLES WATSON LPC

Counselor (Professional)

10151 SE SUNNYSIDE RD STE 480
CLACKAMAS, OR 97015

Clackamas County (316) 550-5914

MS. LAUREN THERESA PILLSTER M.A., LPC

Counselor

10151 SE SUNNYSIDE RD STE 480
HAPPY VALLEY, OR 97015

Clackamas County (503) 739-8321

MR. NICHOLAS REVILLA

Counselor (Professional)

10151 SE SUNNYSIDE RD STE 480
HAPPY VALLEY, OR 97015

Clackamas County (503) 739-8321

JACOB GABRIEL KIRKWOOD PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

10151 SE SUNNYSIDE RD STE 480
HAPPY VALLEY, OR 97015

Clackamas County (503) 739-8321

KRISTEN VAN TUYL

Counselor (Professional)

10151 SE SUNNYSIDE RD STE 480
CLACKAMAS, OR 97015

Clackamas County (503) 739-8321

AARON TEAGUE PHMNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

10151 SE SUNNYSIDE RD STE 480
CLACKAMAS, OR 97015

Clackamas County (503) 739-8321

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 Justin Jacobs's NPI number?

The NPI number for Justin Jacobs is 1801522420. It was assigned to this individual provider in the NPPES registry on July 26, 2022.

Where is Justin Jacobs located?

Justin Jacobs practices at 10151 SE Sunnyside Rd Ste 480, Clackamas, OR 97015. The listed phone number is (971) 915-0046.

What is Justin Jacobs's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Justin Jacobs was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.