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Jennifer Danielle Bielenberg, PSY.D.

NPI 1356997720ActiveIndividual· Psychologist· Portland, OR

Opted out of Medicare from July 2021 to July 2027. Psychologist (PSY.D.) in Portland, Oregon, licensed in CA, with an NPI issued in August 2019.

Overview

NPI1356997720
StatusActive
Entity typeIndividual
CredentialPSY.D.
Sole proprietorNo
NPI issuedAug 12, 2019
Last updated in NPPESAug 19, 2026
Certified by providerAug 19, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000XPSY31402CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Jul 1, 2021 – Jul 1, 2027
Can order and referNo

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

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