Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598197170 Individual Practitioner Female Practitioner

Kathryn Jacobsen

Counselor • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Kathryn Jacobsen is a registered healthcare professional specializing in Counselor in Gresham, OR. Practice services are available at 2850 SE POWELL VALLEY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2850 Se Powell Valley Rd

Gresham, OR 970801494

Telephone 5036665050
Associated Practice Facility / Clinic
🏢 Urgent Care Nw Gresham Pc Facility NPI 1336128321

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
38 Specialists

Practicing in Gresham, OR (4551 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-01-13
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OR C7632

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Secondary Practice Locations

13203 Se 172nd Ave, Ste 166 Pmb 1115

Happy Valley, OR 97086

Phone: 9712314676

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Edwish Adrien , PA

Physician Assistant

NPI 1003062829

Physician Assistant

Dr. Mark Hosko , MD

General Practice

NPI 1043233570

Doctor of Medicine (M.D.)

Sommer Verley , FNP-C

Nurse Practitioner

NPI 1043617608

Family Nurse Practitioner (Certified)

Dyea Summers , PA-C

Physician Assistant - Medical

NPI 1073744769

Physician Assistant (Certified)

NPI 1154722692

PACERTIFIED

Theresa Jones , PA-C

Physician Assistant

NPI 1154872638

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

20 Historical Events
📍
Updated Practice Location April 22, 2025

Registered at 2850 SE POWELL VALLEY RD, GRESHAM, OR 970801494 (Tel: 5036665050)

📍
Updated Business Mailing Address April 22, 2025

Registered at PO BOX 3777, PORTLAND, OR 972083777

📍
Updated Practice Location March 30, 2025

Registered at 13203 SE 172ND AVE, STE 166 PMB 1115, HAPPY VALLEY, OR 97086 (Tel: 9712314676)

📍
Updated Business Mailing Address March 30, 2025

Registered at 13203 SE 172ND AVE, STE 166 PMB 1115, HAPPY VALLEY, OR 97086 (Tel: 9712314676)

👤
Provider Name / Credentials Updated March 30, 2025

Recorded as KATHRYN JACOBSEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2025

Counselor

📍
Updated Practice Location November 11, 2023

Registered at 6436 S QUEBEC ST STE 110C, CENTENNIAL, CO 801117608 (Tel: 7205908980)

📍
Updated Business Mailing Address November 11, 2023

Registered at 201 ALSTON BLVD STE C, #505, HAMPSTEAD, NC 284437002 (Tel: 9198095887)

📍
Updated Practice Location October 04, 2023

Registered at 37400 BELL ST, SANDY, OR 970557868 (Tel: 9712202701)

📍
Updated Business Mailing Address October 04, 2023

Registered at 13203 SE 172ND AVE STE 166, HAPPY VALLEY, OR 970868738 (Tel: 3195200238)

📍
Updated Practice Location November 24, 2021

Registered at 6436 S QUEBEC ST STE 110C, CENTENNIAL, CO 801117608 (Tel: 7205908980)

📍
Updated Business Mailing Address November 24, 2021

Registered at PO BOX 217, CASTLE ROCK, CO 801040217 (Tel: 3195200238)

👤
Provider Name / Credentials Updated November 24, 2021

Recorded as KATHRYN SWINTECK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 24, 2021

Counselor (License #068.0134424 in VT)

NPI Profile Active August 06, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 06, 2013

Registered at 1522 MORGAN ST, KEOKUK, IA 526324028 (Tel: 3195240510)

📍
Updated Business Mailing Address August 06, 2013

Registered at 1522 MORGAN ST, KEOKUK, IA 526324028 (Tel: 3195240510)

👤
Provider Name / Credentials Updated August 06, 2013

Recorded as KATHRYN BASS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2013

Counselor (License #001617 in IA)

🟢
Initial NPI Registration & Enumeration August 06, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598197170
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 06, 2013
Last Update: January 13, 2026
Sole Proprietor: Yes

Mailing Address

Po Box 3777

Portland, OR 972083777

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.