SAMANTHA JORGENSEN MS, LPC
NPI 1841852506
Counselor - Mental Health in Portland, OR
About Samantha Jorgensen Ms, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA JORGENSEN MS, LPC (NPI 1841852506) is an individual mental health provider in Portland, Oregon, licensed in Oregon (C7117) and active in the NPI registry since July 2019. She has opted out of Medicare through January 1, 2028.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Samantha Jorgensen Ms, Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Samantha Jorgensen's NPI number?
The NPI number for Samantha Jorgensen is 1841852506. It was assigned to this individual provider in the NPPES registry on July 2, 2019. The provider is also known as Samantha 'sami' Auclair.
Where is Samantha Jorgensen located?
Samantha Jorgensen practices at 4531 SE Belmont St Ste 320, Portland, OR 97215. The listed phone number is (503) 738-1080.
What is Samantha Jorgensen's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Samantha Jorgensen enrolled in Medicare?
No. Samantha Jorgensen has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Samantha Jorgensen accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Samantha Jorgensen 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 Samantha Jorgensen was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 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.
# Samantha Jorgensen, MS, LPC · NPI 1841852506
Mental Health provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since July 2, 2019.
## Identity
- **NPI:** 1841852506 (Entity type: Individual)
- **Enumerated:** July 2, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** C7117 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4531 SE BELMONT ST STE 320, Portland, OR 97215-1693
- **Phone:** (503) 738-1080 · **Fax:** (503) 664-7136
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** September 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1841852506) · Data from the CMS NPPES public registry.