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CODIE WILSON
NPI 1396239901
Counselor - Mental Health in Springfield, OR

Active since June 18, 2018PECOS Enrolled
1705 CENTENNIAL BLVD STE 2, SPRINGFIELD, OR 97477(541) 818-0009 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2023, Oct 11, 2022, Jun 18, 2018 (3 updates tracked since 2018).

About Codie Wilson NPPES

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

CODIE WILSON (NPI 1396239901) is an individual mental health provider in Springfield, Oregon, licensed in (PROFESSIONALLICENSE) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1396239901
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCODIE WILSON
Location Address1705 CENTENNIAL BLVD STE 2Springfield, OR 97477-3320
Mailing Address1705 Centennial Blvd Ste 2Springfield, OR 97477-3320 · (584) 818-0009
Phone(541) 818-0009
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 18, 2018
Last NPPES UpdateJanuary 26, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
✔ NPI 1396239901 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 · PROFESSIONALLICENSE
1705 CENTENNIAL BLVD STE 2, Springfield, OR 97477
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Codie Wilson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42712242
PECOS Enrollment IDI20250906000768
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 11

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

ROBERT MOUNTAINSPRING-WOOD
Counselor (Mental Health)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (541) 818-0009
OREGON DIRECTIONS, LLC
Counselor (Professional)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (541) 818-0009
ANDREA DAWN DAVENPORT LPC
Counselor (Professional)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (541) 818-0009
MR. GLEN RUDERMAN
Counselor (Mental Health)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (541) 818-0009
OREGON DIRECTIONS, LLC
Counselor (Mental Health)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (970) 962-4819
JASON LAMB
Counselor (Mental Health)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (458) 818-0009
MISS BRIDGET ANNE DEDELOW
Counselor (Mental Health)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (541) 818-0009
TAYLOR CHARLES VAN RYSSELBERGHE
Counselor (Mental Health)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (541) 818-0009

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 Codie Wilson's NPI number?

The NPI number for Codie Wilson is 1396239901. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Where is Codie Wilson located?

Codie Wilson practices at 1705 Centennial Blvd Ste 2, Springfield, OR 97477. The listed phone number is (541) 818-0009.

What is Codie Wilson's specialty?

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

Is Codie Wilson enrolled in Medicare?

Yes. Codie Wilson is registered in the Medicare PECOS enrollment system.

What insurance does Codie Wilson accept?

Health plans from PacificSource Health Plans list Codie 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 Codie Wilson was last updated on January 26, 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.