Active NPI
Jill Elaine Cain, M.S., L.P.C.
- Professional Counselor
- Wilsonville, OR
National Provider Identifier
1205277084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C2881
- 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, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| C2881 | OR | MD | Professional 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.