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MICHAEL WILSON MA COUNSELING
NPI 1013384379
Counselor - Mental Health in Tigard, OR

Active since August 21, 2015Opted out of Medicare · through May 28, 2027
7110 SW FIR LOOP STE 220, TIGARD, OR 97223(503) 608-0796(503) 213-5886 Get Directions Write a Review

NPPES record last updated: February 5, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 5, 2019, Jul 27, 2018 (2 updates tracked since 2018).

About Michael Wilson Ma Counseling NPPES

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

MICHAEL WILSON MA COUNSELING (NPI 1013384379) is an individual mental health provider in Tigard, Oregon, licensed in Oregon (C5140) and active in the NPI registry since August 2015. He has opted out of Medicare through May 28, 2027.

NPPES Registry Identity

NPI1013384379
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMICHAEL WILSONCredential: MA COUNSELING
Location Address7110 SW FIR LOOP STE 220Tigard, OR 97223
Mailing Address7110 Sw Fir Loop Ste 220Tigard, OR 97223-8025 · (503) 608-0796
Phone(503) 608-0796
Fax(503) 213-5886
Sole ProprietorYes
Enumeration DateAugust 21, 2015
Last NPPES UpdateFebruary 5, 20192 updates tracked since enumeration
✔ NPI 1013384379 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 · C5140
7110 SW FIR LOOP STE 220, Tigard, OR 97223
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Michael Wilson Ma Counseling has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 28, 2025 through May 28, 2027.

Opt-Out Effective DateMay 28, 2025
Opt-Out In Effect ThroughMay 28, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Michael Wilson's NPI number?

The NPI number for Michael Wilson is 1013384379. It was assigned to this individual provider in the NPPES registry on August 21, 2015.

Where is Michael Wilson located?

Michael Wilson practices at 7110 SW Fir Loop Ste 220, Tigard, OR 97223. The listed phone number is (503) 608-0796.

What is Michael Wilson's specialty?

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

Is Michael Wilson enrolled in Medicare?

No. Michael Wilson has opted out of Medicare through May 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Michael Wilson was last updated on February 5, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.