JENNIFER LEE BOMBERGER NPI 1871855221

NPI Information

  • NPI: 1871855221
  • Provider Name: JENNIFER LEE BOMBERGER
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 915 S COLUMBUS AVE
    GOLDENDALE, WA
    ZIP 98620
  • Phone: (541) 910-2932

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NPI Details

Jennifer Lee Bomberger is a mental health counselor in Goldendale, WA with 15 years of experience. Jennifer Lee Bomberger NPI is 1871855221. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

915 S COLUMBUS AVE
GOLDENDALE, WA
ZIP 98620-068
Phone: (541) 910-2932

The NPI 1871855221 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/12/2012 and was last updated on 12/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthLH60650503WASHINGTONYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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