Jamie Jacobson

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

105 Fir St Ste 327
La Grande, OR 97850-2663

Phone

(541) 246-3638

NPI assigned

Jul 22, 2025

Last updated

Jul 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Candace Walters and Associates

  • Professional Counselor
  • La Grande, OR
  • NPI 1710748207
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1871475863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FIR ST STE 327",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978502663",
            "telephone_number": "541-246-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FIR ST STE 327",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978502663",
            "telephone_number": "541-246-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "JAMIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy E. Iles, DPM
• Indigo Counseling LLC
• David Burt Ingram, MD
• Leslie W Jackson, MD
• Zachary Michael Jacobsen, CRNA
• James H Petersen MD PC
• James Michael Matthews MD PC
• James R Kopp M.D., P.C.
• James R Kopp MD PC
• James Thomas James, PHARM.D.

• Counselor in La Grande, OR
• Providers in La Grande, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.