Individual provider Active NPI

Wendy Ellis Esther, MA - PMHC

  • Counselor
  • Saint Helens, OR
National Provider Identifier
1609235811
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
58646 McNulty Way
Saint Helens, OR 97051-6210
Phone
(503) 397-5211
Fax
(503) 438-2194
NPI assigned
Feb 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

58646 McNulty Way
Saint Helens, OR 97051-6210

Mailing address

58646 McNulty Way
P.O. Box 1234
Saint Helens, OR 97051-6210
Phone (503) 397-5211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220001931 OR Practitioner - Mental Health Counselor 9638513468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12725 SW Millikan Way
Suite 300
Beaverton, OR 97005-1687
Phone (971) 246-5970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Wild Wish Counseling LLC CurrentSince Jan 6, 2024 Accepting new patients

Locations

12725 SW Millikan Way
Ste 300
Beaverton, OR 97005
Phone (503) 303-0304

12655 SW Center St
Ste 221
Beaverton, OR 97005
Phone (503) 298-5150

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1609235811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58646 MCNULTY WAY",
            "address_2": "P.O. BOX 1234",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970516210",
            "telephone_number": "503-397-5211",
            "fax_number": "503-438-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58646 MCNULTY WAY",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970516210",
            "telephone_number": "503-397-5211",
            "fax_number": "503-438-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTHER",
        "first_name": "WENDY",
        "middle_name": "ELLIS",
        "credential": "MA - PMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helens, OR

Sources for this page

Verify at the official NPI Registry.