MS. HOLLY WIGMORE LPC
NPI 1093440539
Counselor - Mental Health in Portland, OR

Active since July 19, 2022PECOS EnrolledAccepts Medicare Assignment
1110 SE ALDER ST STE 301, PORTLAND, OR 97214(503) 843-8862 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 28, 2025, Jan 5, 2025, Jul 19, 2022 (3 updates tracked since 2022).

About Ms. Holly Wigmore Lpc NPPES

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

MS. HOLLY WIGMORE LPC (NPI 1093440539) is an individual mental health provider in Portland, Oregon, licensed in Oregon (C8931) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1093440539
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. HOLLY WIGMORECredential: LPC
Location Address1110 SE ALDER ST STE 301Portland, OR 97214-2400
Mailing Address1110 Se Alder St Ste 301Portland, OR 97214-2400
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 19, 2022
Last NPPES UpdateFebruary 28, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2025
NPI 1093440539 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 · C8931
1110 SE ALDER ST STE 301, Portland, OR 97214

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Holly Wigmore Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072042670
PECOS Enrollment IDI20250128001853
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
1110 SE ALDER ST STE 301
PORTLAND, OR 97214
Counselor (Mental Health)
1110 SE ALDER ST STE 301
PORTLAND, OR 97214
Social Worker (Clinical)
1110 SE ALDER ST STE 301
PORTLAND, OR 97214
Counselor (Mental Health)
1110 SE ALDER ST STE 301
PORTLAND, OR 97214
Marriage & Family Therapist
1110 SE ALDER ST STE 301
PORTLAND, OR 97214
Counselor (Mental Health)
1110 SE ALDER ST STE 301
PORTLAND, OR 97214
Counselor (Professional)
1110 SE ALDER ST STE 301
PORTLAND, OR 97214
Social Worker (Clinical)
1110 SE ALDER ST STE 301
PORTLAND, OR 97214

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 Holly Wigmore's NPI number?

The NPI number for Holly Wigmore is 1093440539. It was assigned to this individual provider in the NPPES registry on July 19, 2022.

Where is Holly Wigmore located?

Holly Wigmore practices at 1110 SE Alder St Ste 301, Portland, OR 97214. The listed phone number is (503) 843-8862.

What is Holly Wigmore's specialty?

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

Is Holly Wigmore enrolled in Medicare?

Yes. Holly Wigmore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Holly Wigmore was last updated on February 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.