Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jacob Dickinson, MA

Individual provider Mental Health Counselor · NPI 1508015975

Mr. Jacob Dickinson, MA is a Marriage and Family Therapist in Beaverton, Oregon. Qualified in 2008, 18 years ago. Licensed in Oregon.

Years since qualifying
18
Licensed in
OR
In the registry since
2008
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

9670 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005-3307
Phone: (971) 229-4009
Fax: (866) 324-6009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence T0845 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence C2887 (OR)

Record details

NPI number1508015975
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorNo
NPI enumeratedSeptember 10, 2008
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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