JASON DAVID WALLIS LPC
NPI 1396913331
Counselor - Professional in Portland, OR
About Jason David Wallis Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASON DAVID WALLIS LPC (NPI 1396913331) is an individual professional provider in Portland, Oregon, licensed in Oregon (C7443) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Jason David Wallis 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.
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.
PORTLAND, OR 97214
PORTLAND, OR 97214
PORTLAND, OR 97214
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 Jason Wallis's NPI number?
The NPI number for Jason Wallis is 1396913331. It was assigned to this individual provider in the NPPES registry on February 12, 2008.
Where is Jason Wallis located?
Jason Wallis practices at 2901 E Burnside St, Portland, OR 97214. The listed phone number is (503) 953-0310.
What is Jason Wallis's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jason Wallis enrolled in Medicare?
Yes. Jason Wallis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Jason Wallis accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Jason Wallis 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 Jason Wallis was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
