Active NPI
Jason Wilkinson
- Professional Counselor
- Tualatin, OR
National Provider Identifier
1902422835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- R6323
- Practice address
- 7427 SW Coho CT Ste Office6
Tualatin, OR 97062-8618 - Phone
- (503) 389-5514
- NPI assigned
- Jun 16, 2020
- Sex
- Male
- 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 | R6323 | OR | Primary |
Addresses
Primary practice location
7427 SW Coho CT Ste Office6
Tualatin, OR 97062-8618
Mailing address
4130 SW 117TH Ave # A262
Beaverton, OR 97005-5606
Phone (503) 389-5514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 20, 2024 through Feb 20, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R6323 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592265600000",
"number": "1902422835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4130 SW 117TH AVE # A262",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970055606",
"telephone_number": "503-389-5514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7427 SW COHO CT STE OFFICE6",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970628618",
"telephone_number": "503-389-5514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINSON",
"first_name": "JASON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-16",
"last_updated": "2020-06-16",
"certification_date": "2020-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "R6323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tualatin, OR
- Laurel M Westly, M.D.
- Mark Cecil Weston, M.D.
- Jacob White, PHARMD
- Miriam Krisitiyahna White, OTD, OTR/L
- Rachel Finn White, DPT
- Willamette Dermatology, P.C.
- Willamette General & Colon-Rectal Surgery PC
- Willamette General & Vascular Surgery, P.C.
- Willamette Hematology-Oncology PC
- Willamette Orthotics & Prosthetics LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.