JACOB LANE MERRITT MA
NPI 1831705920
Counselor - Mental Health in Lincoln City, OR

Active since September 23, 2020PECOS EnrolledAccepts Medicare Assignment
412 SW HWY 101, LINCOLN CITY, OR 97367(541) 557-1892 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jacob Lane Merritt Ma NPPES

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

JACOB LANE MERRITT MA (NPI 1831705920) is an individual mental health provider in Lincoln City, Oregon and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1831705920
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACOB LANE MERRITTCredential: MA
Location Address412 SW HWY 101Lincoln City, OR 97367-2772
Mailing Address3910 Amberwood DrAddison, TX 75001-4426 · (214) 418-4510
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 23, 2020
NPPES CertifiedSeptember 21, 2020
✔ NPI 1831705920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
412 SW HWY 101, Lincoln City, OR 97367

Accepted 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

Jacob Lane Merritt Ma 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 ID2163862681
PECOS Enrollment IDI20240731002670
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 Jacob Merritt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
923 NW GRANT AVE
Corvallis, OR 97330
  • Reassigned Medicare billing, Oregon enrollment
  • 5 clinicians in this Medicare group

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

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 Jacob Merritt's NPI number?

The NPI number for Jacob Merritt is 1831705920. It was assigned to this individual provider in the NPPES registry on September 23, 2020.

Where is Jacob Merritt located?

Jacob Merritt practices at 412 SW Hwy 101, Lincoln City, OR 97367. The listed phone number is (541) 557-1892.

What is Jacob Merritt's specialty?

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

Is Jacob Merritt enrolled in Medicare?

Yes. Jacob Merritt 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 Jacob Merritt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Merritt reassigns Medicare benefits to Coastal Center For Collaborative Health (Corvallis, 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 Jacob Merritt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Merritt accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jacob Merritt 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 Jacob Merritt was last updated on September 23, 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.