Skylar Willson-Ko, M.A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

T1645 Issued in OR

Practice address

1320 Meridian Dr
Woodburn, OR 97071-9668

Phone

(503) 498-5476

NPI assigned

Nov 30, 2011

Last updated

Aug 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Skylar Willson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Options Counseling Services of Oregon

  dba Options Counseling and Family Services

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1548275217
  NPD
• Morrison Child and Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, OR
  • NPI 1346382975
  NPD (past)

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1265709562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 MERIDIAN DR",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970719668",
            "telephone_number": "503-498-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 MERIDIAN DR",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970719668",
            "telephone_number": "503-498-5476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11035 NE Sandy Blvd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972202553",
            "country_code": "US",
            "telephone_number": "503-258-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLSON-KO",
        "first_name": "SKYLAR",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SKYLAR",
            "last_name": "WILLSON",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph Paul Whitson, D.O.
• Willamette Orthotics & Prosthetics LLC (Summit Orthotics & Prosthetics)
• Williams Medco Inc (William's Fairway Drug #1162)
• Sarah Lanae Williams
• Owen P Willis, MD
• Savanna Margaret Wilson
• Candice Winans
• Casidy Winters Merten
• Michelle K Witt
• WMC Operating Company, LLC (Heartwood Place Memory Care)

• Marriage & Family Therapist in Woodburn, OR
• Providers in Woodburn, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.