Jennifer Lee Wilson, CD

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

715 SW Dorion Ave
Pendleton, OR 97801-2070

Phone

(541) 429-8800

Fax

(541) 429-8822

NPI assigned

Jun 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Oregon Washington Health Network

  • Health Service Clinic/Center
  • Pendleton, OR
  • NPI 1356971493

  Peer Specialist

  NPD
• Oregon Washington Health Network- Centro Copes

  • Community/Behavioral Health Agency
  • Hermiston, OR
  • NPI 1609724541
  NPD (past)

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1326615923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 882",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978010882",
            "telephone_number": "541-429-8844",
            "fax_number": "541-429-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 SW DORION AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978012070",
            "telephone_number": "541-429-8800",
            "fax_number": "541-429-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED BIRTH DOULA",
            "identifier": "NA",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tania Carola Wildbill, M.S.
• Stephanie M Williams
• Joanita Glavel Williamson
• Peter Willis, NP
• Willowbrook SNF Healthcare LLC
• Julie Ann Wilson
• Kristina Lynn Wilson
• Paige Louise Wilson
• Rachael Ann Wilson, QMHA
• Taylor Wilson, B.S.

• Peer Specialist in Pendleton, OR
• Providers in Pendleton, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.