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KAITLYN WILSON
NPI 1144916883
Counselor - Mental Health in Portland, OR

Active since April 14, 2023
2950 SE STARK ST STE 130, PORTLAND, OR 97214(559) 908-0028 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaitlyn Wilson NPPES

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

KAITLYN WILSON (NPI 1144916883) is an individual mental health provider in Portland, Oregon, licensed in Oregon (R8286) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1144916883
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKAITLYN WILSON
Location Address2950 SE STARK ST STE 130Portland, OR 97214-3082
Mailing Address2950 Se Stark St Ste 130Portland, OR 97214-3082 · (559) 908-0028
Phone(559) 908-0028
Sole ProprietorNo
Enumeration DateApril 14, 2023
NPPES CertifiedApril 14, 2023
✔ NPI 1144916883 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 · R8286
2950 SE STARK ST STE 130, Portland, OR 97214
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 14

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

TIFFANY KETTERMANN, LLC
Counselor (Mental Health)
2950 SE STARK ST STE 130
PORTLAND, OR 97214
Multnomah County (971) 270-0167
JOSEPH THOMAS GIANOTTI MA
Counselor (Mental Health)
2950 SE STARK ST STE 130
PORTLAND, OR 97214
Multnomah County (971) 270-0167
DANIELLE KOLLER MSW, CSWA
Social Worker (Clinical)
2950 SE STARK ST STE 130
PORTLAND, OR 97214
Multnomah County (971) 270-0167
JUSTIN HARDMAN PSS
Peer Specialist
2950 SE STARK ST STE 130
PORTLAND, OR 97214
Multnomah County (971) 270-0167
CHARLOTTE HEESACKER CHENEY LPC ASSOCIATE
Counselor (Mental Health)
2950 SE STARK ST STE 130
PORTLAND, OR 97214
Multnomah County (971) 270-0167
IAN GROSSMAN
Case Manager/Care Coordinator
2950 SE STARK ST STE 130
PORTLAND, OR 97214
Multnomah County (503) 421-8009
KATIE STUBBERS MA
Counselor (Mental Health)
2950 SE STARK ST STE 130
PORTLAND, OR 97214
Multnomah County (971) 270-0167
SIENNA RAEN CHURCH
Counselor
2950 SE STARK ST STE 130
PORTLAND, OR 97214
Multnomah County (971) 270-0167

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 Kaitlyn Wilson's NPI number?

The NPI number for Kaitlyn Wilson is 1144916883. It was assigned to this individual provider in the NPPES registry on April 14, 2023.

Where is Kaitlyn Wilson located?

Kaitlyn Wilson practices at 2950 SE Stark St Ste 130, Portland, OR 97214. The listed phone number is (559) 908-0028.

What is Kaitlyn Wilson's specialty?

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

What insurance does Kaitlyn Wilson accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Kaitlyn Wilson 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 Kaitlyn Wilson was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.