MARYJANE WILT LPC
NPI 1003106881
Counselor - Mental Health in Portland, OR

Q: What is Maryjane Wilt's NPI number?

The NPI number for Maryjane Wilt is 1003106881. It was assigned to this individual provider in the NPPES registry on April 13, 2011.

Q: What is Maryjane Wilt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Maryjane Wilt was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 13, 2011

212 NE 80TH AVE, PORTLAND, OR 97213(971) 255-1559(971) 255-0339 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Maryjane Wilt Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYJANE WILT LPC (NPI 1003106881) is an individual mental health provider in Portland, Oregon, licensed in Oregon (C2002) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1003106881

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMARYJANE WILTCredential: LPC

Location Address212 NE 80TH AVEPortland, OR 97213-7016

Mailing Address212 Ne 80th AvePortland, OR 97213-7016 · (971) 242-9322

Phone(971) 255-1559

Fax(971) 255-0339

Sole ProprietorNo

Enumeration DateApril 13, 2011

Last NPPES UpdateOctober 28, 2025

NPPES CertifiedOctober 28, 2025

✔ NPI 1003106881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OR · C2002

212 NE 80TH AVE, Portland, OR 97213

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WELLBEING TRAILHEAD LLC

Counselor (Mental Health)

212 NE 80TH AVE
PORTLAND, OR 97213

Multnomah County (971) 888-2785

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryjane Wilt's NPI number?

The NPI number for Maryjane Wilt is 1003106881. It was assigned to this individual provider in the NPPES registry on April 13, 2011.

Where is Maryjane Wilt located?

Maryjane Wilt practices at 212 NE 80th Ave, Portland, OR 97213. The listed phone number is (971) 255-1559.

What is Maryjane Wilt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Maryjane Wilt accept?

Health plans from PacificSource Health Plans list Maryjane Wilt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maryjane Wilt was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.