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

JENNIFER MICHELLE ROHOLT
NPI 1942613112
Counselor - Mental Health in Oregon City, OR

Active since June 05, 2014PECOS Enrolled
110 BEAVERCREEK RD STE 100, OREGON CITY, OR 97045(503) 655-8471(503) 723-4946 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 14, 2026, Jan 15, 2019 (2 updates tracked since 2019).

About Jennifer Michelle Roholt NPPES

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

JENNIFER MICHELLE ROHOLT (NPI 1942613112) is an individual mental health provider in Oregon City, Oregon and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1942613112
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER MICHELLE ROHOLT
Location Address110 BEAVERCREEK RD STE 100Oregon City, OR 97045-4307
Mailing Address18911 Portland AveGladstone, OR 97027-1630 · (503) 655-8471 · Fax (503) 722-6810
Phone(503) 655-8471
Fax(503) 723-4946
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 5, 2014
Last NPPES UpdateSeptember 14, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2026
✔ NPI 1942613112 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
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
110 BEAVERCREEK RD STE 100, Oregon City, OR 97045
Open in Google Maps ↗

Secondary Practice Locations 2

Location 19775 SE Sunnyside Rd Ste 200Clackamas, OR 97015-5721 · Phone (503) 655-8471 · Fax (503) 723-4907
Location 239740 Pleasant StSandy, OR 97055-6412 · Phone (503) 655-8471 · Fax (503) 722-6850

Other Identifiers 2

Medicaid500691598OR
Other106H00000XOR · Mcft

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan, Regence BlueCross BlueShield of Oregon.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 Michelle Roholt 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 ID3274984216
PECOS Enrollment IDI20240104000225
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.

Other Providers at the Same Location NPPES 5

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

COURTNEY RAE KLUM
Registered Nurse (Ambulatory Care)
110 BEAVERCREEK RD STE 100
OREGON CITY, OR 97045
Clackamas County (503) 655-8471
DR. KELSIE B LEDFORD PHARMD
Pharmacist (Ambulatory Care)
110 BEAVERCREEK RD STE 100
OREGON CITY, OR 97045
Clackamas County (503) 655-8471
AMY TRAN RDH
Dental Hygienist
110 BEAVERCREEK RD STE 100
OREGON CITY, OR 97045
Clackamas County (503) 655-8471
CLACKAMAS COUNTY
Clinic/Center (Federally Qualified Health Center (FQHC))
110 BEAVERCREEK RD STE 100
OREGON CITY, OR 97045
Clackamas County (503) 655-8471
MR. KYLE PATRICK JOHNSTONE RDH
Dental Hygienist
110 BEAVERCREEK RD STE 100
OREGON CITY, OR 97045
Clackamas County (503) 722-6313

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 Roholt's NPI number?

The NPI number for Jennifer Roholt is 1942613112. It was assigned to this individual provider in the NPPES registry on June 5, 2014.

Where is Jennifer Roholt located?

Jennifer Roholt practices at 110 Beavercreek Rd Ste 100, Oregon City, OR 97045. The listed phone number is (503) 655-8471.

What is Jennifer Roholt's specialty?

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

Is Jennifer Roholt enrolled in Medicare?

Yes. Jennifer Roholt 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 Roholt accept?

Health plans from PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jennifer Roholt 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 Roholt was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.