EVERGREEN COUNSELING AND CONSULTATION
NPI 1295629806
Clinic/Center - Mental Health (Including Community Mental Health Center) in Wilsonville, OR

Active since June 06, 2025
8855 SW HOLLY LN STE 111, WILSONVILLE, OR 97070(503) 902-8431 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 18, 2025, Jun 6, 2025 (2 updates tracked since 2025).

About Evergreen Counseling And Consultation NPPES

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

EVERGREEN COUNSELING AND CONSULTATION (NPI 1295629806) is a healthcare organization registered as a mental health (including community mental health center) in Wilsonville, Oregon and active in the NPI registry since June 2025. The organization lists Evan Michael Lafountain, Owner, as its authorized official.

NPPES Registry Identity

NPI1295629806
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameEVERGREEN COUNSELING AND CONSULTATION
Location Address8855 SW HOLLY LN STE 111Wilsonville, OR 97070-8793
Mailing Address2822 Walnut CtHubbard, OR 97032-9692 · (219) 669-8267
Organization SubpartNo
Authorized OfficialEvan Michael LafountainOwner · (219) 669-8267
Enumeration DateJune 6, 2025
Last NPPES UpdateJune 18, 20252 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1295629806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
8855 SW HOLLY LN STE 111, Wilsonville, OR 97070

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evergreen Counseling And Consultation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Evergreen Counseling And Consultation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1285204511
805 LIBERTY ST NE STE 2
Salem, OR 97301
(219) 669-8267
✔ PECOS28 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Evergreen Counseling And Consultation's NPI number?

The NPI number for Evergreen Counseling And Consultation is 1295629806. It was assigned to this organization in the NPPES registry on June 6, 2025.

Where is Evergreen Counseling And Consultation located?

Evergreen Counseling And Consultation is located at 8855 SW Holly Ln Ste 111, Wilsonville, OR 97070. The listed phone number is (503) 902-8431.

What is Evergreen Counseling And Consultation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Evergreen Counseling And Consultation enrolled in Medicare?

Yes. Evergreen Counseling And Consultation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evergreen Counseling And Consultation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Evergreen Counseling And Consultation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Evergreen Counseling And Consultation was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.