TERESA ANN COMBS WILSON MA LPC
NPI 1194315549
Counselor - Mental Health in Portland, OR

Q: What is Teresa Wilson's NPI number?

The NPI number for Teresa Wilson is 1194315549. It was assigned to this individual provider in the NPPES registry on January 20, 2021.

Q: What is Teresa Wilson'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 Teresa Wilson was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 January 20, 2021PECOS EnrolledAccepts Medicare Assignment

5441 S MACADAM AVE STE R, PORTLAND, OR 97239(940) 363-0089 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2025, Jan 20, 2021 (2 updates tracked since 2021).

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About Teresa Ann Combs Wilson Ma Lpc NPPES

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

TERESA ANN COMBS WILSON MA LPC (NPI 1194315549) is an individual mental health provider in Portland, Oregon, licensed in Oregon (C10098) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wichita Falls, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1194315549

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameTERESA ANN COMBS WILSONCredential: MA LPC

Location Address5441 S MACADAM AVE STE RPortland, OR 97239-6106

Mailing Address4703 Augusta LnWichita Falls, TX 76302-3327 · (940) 363-0089

Phone(940) 363-0089

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJanuary 20, 2021

Last NPPES UpdateJune 20, 20252 updates tracked since enumeration

NPPES CertifiedJune 20, 2025

✔ NPI 1194315549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OR · C10098

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 85136 (TX)

5441 S MACADAM AVE STE R, Portland, OR 97239

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Secondary Practice Location 1

Location 14703 Augusta LnWichita Falls, TX 76302-3327 · Phone (940) 363-0089

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Imperial Insurance Companies, Inc. and more.Insurance ›

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

Teresa Ann Combs Wilson Ma 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 ID941641526

PECOS Enrollment IDI20250702002080

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.

SCOUT BROWN

Counselor (Mental Health)