KATHRYN JACOBSEN – Counselor, NPI 1598197170
Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,207 MENTAL HEALTH COUNSELOR in CO
Provider Addresses for KATHRYN JACOBSEN
PO BOX 217
CASTLE ROCK, CO 801040217
Phone: (319) 520-0238
Type: Mailing
6436 S QUEBEC ST STE 110C
CENTENNIAL, CO 801117608
Phone: (720) 590-8980
Type: Location
1522 MORGAN ST
KEOKUK, IA 526324028
Phone: (319) 524-0510
Fax: (319) 524-0609
Type: Mailing
13203 SE 172ND AVE
STE 166 PMB 1115
Happy Valley, OR 97086
Phone: (971) 231-4676
Type: Location
PO BOX 3777
PORTLAND, OR 972083777
Phone:
Type: Mailing
2850 SE POWELL VALLEY RD
GRESHAM, OR 970801494
Phone: (503) 666-5050
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-06-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250612003264 | I | Mental Health Counselor | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80104)
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