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JENNIFER LEE BOMBERGER
NPI 1871855221
Counselor - Mental Health in Goldendale, WA

Active since June 12, 2012PECOS EnrolledAccepts Medicare Assignment
915 S COLUMBUS AVE, GOLDENDALE, WA 98620(541) 910-2932 Get Directions Write a Review

NPPES record last updated: December 14, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jennifer Lee Bomberger NPPES

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

JENNIFER LEE BOMBERGER (NPI 1871855221) is an individual mental health provider in Goldendale, Washington, licensed in Washington (LH60650503) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1871855221
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER LEE BOMBERGER
Location Address915 S COLUMBUS AVEGoldendale, WA 98620-9068
Mailing Address402 Allison WayGoldendale, WA 98620-9231 · (541) 910-2932
Phone(541) 910-2932
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJune 12, 2012
Last NPPES UpdateDecember 14, 2016
✔ NPI 1871855221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH60650503
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
915 S COLUMBUS AVE, Goldendale, WA 98620
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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 Lee Bomberger 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 ID7214371210
PECOS Enrollment IDI20240218000141
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.

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 Bomberger's NPI number?

The NPI number for Jennifer Bomberger is 1871855221. It was assigned to this individual provider in the NPPES registry on June 12, 2012.

Where is Jennifer Bomberger located?

Jennifer Bomberger practices at 915 S Columbus Ave, Goldendale, WA 98620. The listed phone number is (541) 910-2932.

What is Jennifer Bomberger's specialty?

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

Is Jennifer Bomberger enrolled in Medicare?

Yes. Jennifer Bomberger 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 Bomberger accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jennifer Bomberger 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 Bomberger was last updated on December 14, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.