Individual provider Active NPI

Jill Elaine Cain, M.S., L.P.C.

  • Professional Counselor
  • Wilsonville, OR
National Provider Identifier
1205277084
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C2881 Issued in OR
Practice address
28925 SW Boberg Rd
Wilsonville, OR 97070-8218
Phone
(503) 318-3083
Fax
(503) 893-3044
NPI assigned
Jul 9, 2013
Last updated
Feb 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C2881 OR Primary

Addresses

Primary practice location

28925 SW Boberg Rd
Wilsonville, OR 97070-8218

Mailing address

29545 SW Coffee Lake Dr
Wilsonville, OR 97070-3079
Phone (503) 318-3083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 5, 2024 through Mar 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
C2881ORMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1205277084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29545 SW COFFEE LAKE DR",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970703079",
            "telephone_number": "503-318-3083",
            "fax_number": "503-893-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28925 SW BOBERG RD",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970708218",
            "telephone_number": "503-318-3083",
            "fax_number": "503-893-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN",
        "first_name": "JILL",
        "middle_name": "ELAINE",
        "credential": "M.S., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C2881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilsonville, OR

Sources for this page

Verify at the official NPI Registry.