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SAMUEL JAMES WILMARTH
NPI 1306412630
Counselor - Professional in Tigard, OR

Active since May 27, 2021Opted out of Medicare · through Jul 31, 2027
7555 SW HERMOSO WAY STE 120, TIGARD, OR 97223(503) 345-3260 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 24, 2024, May 27, 2021 (2 updates tracked since 2021).

About Samuel James Wilmarth NPPES

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

SAMUEL JAMES WILMARTH (NPI 1306412630) is an individual professional provider in Tigard, Oregon, licensed in Oregon (C8858) and active in the NPI registry since May 2021. He has opted out of Medicare through July 31, 2027.

NPPES Registry Identity

NPI1306412630
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSAMUEL JAMES WILMARTH
Location Address7555 SW HERMOSO WAY STE 120Tigard, OR 97223-8684
Mailing Address7555 Sw Hermoso Way Ste 120Tigard, OR 97223-8684 · (503) 345-3260
Phone(503) 345-3260
Sole ProprietorYes
Enumeration DateMay 27, 2021
Last NPPES UpdateSeptember 24, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1306412630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C8858
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
7555 SW HERMOSO WAY STE 120, Tigard, OR 97223
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Samuel James Wilmarth 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 July 31, 2025 through July 31, 2027.

Opt-Out Effective DateJuly 31, 2025
Opt-Out In Effect ThroughJuly 31, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

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

JEREMY STEENSTRUP BALTHAZAR ASSOCIATE LPC
Counselor (Mental Health)
7555 SW HERMOSO WAY STE 120
TIGARD, OR 97223
Washington County (503) 345-3260
PSYCHOLOGY & WELLNESS GROUP PDX LLC
Counselor (Professional)
7555 SW HERMOSO WAY STE 120
TIGARD, OR 97223
Washington County (503) 345-3260
STEPHANIE A SNOW M.S., LPC
Counselor (Professional)
7555 SW HERMOSO WAY STE 120
TIGARD, OR 97223
Washington County (503) 345-3260
SEAN COHEN
Counselor (Mental Health)
7555 SW HERMOSO WAY STE 120
TIGARD, OR 97223
Washington County (503) 345-3260
MELISSA DANIELSON LMT
Massage Therapist
7555 SW HERMOSO WAY STE 120
TIGARD, OR 97223
Washington County (503) 746-6095
DONNA ISABELLA ZUCCO
Counselor (Professional)
7555 SW HERMOSO WAY STE 120
TIGARD, OR 97223
Washington County (775) 997-8278
SAVREN IRIS MCCONNELL
Counselor (Mental Health)
7555 SW HERMOSO WAY STE 120
TIGARD, OR 97223
Washington County (503) 345-3260
GILBERT J GUTIERREZ APRN
Nurse Practitioner (Psychiatric/Mental Health)
7555 SW HERMOSO WAY STE 120
TIGARD, OR 97223
Washington County (503) 345-3260

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 Samuel Wilmarth's NPI number?

The NPI number for Samuel Wilmarth is 1306412630. It was assigned to this individual provider in the NPPES registry on May 27, 2021.

Where is Samuel Wilmarth located?

Samuel Wilmarth practices at 7555 SW Hermoso Way Ste 120, Tigard, OR 97223. The listed phone number is (503) 345-3260.

What is Samuel Wilmarth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Samuel Wilmarth enrolled in Medicare?

No. Samuel Wilmarth has opted out of Medicare through July 31, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Samuel Wilmarth accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Samuel Wilmarth 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 Samuel Wilmarth was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.