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KRISTINA LYNN WILSON
NPI 1417408956
Counselor - Mental Health in Pendleton, OR

Active since October 19, 2016
2575 WESTGATE BLDG 1, PENDLETON, OR 97801(541) 429-8721(541) 429-8720 Get Directions Write a Review

NPPES record last updated: March 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2018, Oct 19, 2016 (2 updates tracked since 2016).

About Kristina Lynn Wilson NPPES

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

KRISTINA LYNN WILSON (NPI 1417408956) is an individual mental health provider in Pendleton, Oregon and active in the NPI registry since October 2016. She maintains a secondary practice location in Pendleton.

NPPES Registry Identity

NPI1417408956
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKRISTINA LYNN WILSON
Location Address2575 WESTGATE BLDG 1Pendleton, OR 97801-9613
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167
Phone(541) 429-8721
Fax(541) 429-8720
Sole ProprietorNo
Enumeration DateOctober 19, 2016
Last NPPES UpdateMarch 27, 20182 updates tracked since enumeration
✔ NPI 1417408956 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
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2575 WESTGATE BLDG 1, Pendleton, OR 97801
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Secondary Practice Location 1

Location 137 NE Mount Hebron DrPendleton, OR 97801-3459 · Phone (541) 276-1126

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.

HALEY A YOUNG
Counselor (Mental Health)
2575 WESTGATE BLDG 1
PENDLETON, OR 97801
Umatilla County (541) 429-8721
TONI PERLOT
Counselor (Mental Health)
2575 WESTGATE BLDG 1
PENDLETON, OR 97801
Umatilla County (541) 429-8721
SHAYLER HOFFMAN
Counselor (Mental Health)
2575 WESTGATE BLDG 1
PENDLETON, OR 97801
Umatilla County (541) 429-8721
JAMES G BEARDSLEY
Counselor (Mental Health)
2575 WESTGATE BLDG 1
PENDLETON, OR 97801
Umatilla County (541) 429-8721
DOROTHY MCBEAN
Counselor (Mental Health)
2575 WESTGATE BLDG 1
PENDLETON, OR 97801
Umatilla County (541) 429-8721
PATRICIA COOPER
Counselor (Mental Health)
2575 WESTGATE BLDG 1
PENDLETON, OR 97801
Umatilla County (541) 429-8721
JESSAMY J OTTESON
Registered Nurse (Psychiatric/Mental Health)
2575 WESTGATE BLDG 1
PENDLETON, OR 97801
Umatilla County (541) 276-6330
COMMUNITY COUNSELING SOLUTIONS
Psychiatric Residential Treatment Facility
2575 WESTGATE BLDG 1
PENDLETON, OR 97801
Umatilla County (541) 429-8721

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 Kristina Wilson's NPI number?

The NPI number for Kristina Wilson is 1417408956. It was assigned to this individual provider in the NPPES registry on October 19, 2016.

Where is Kristina Wilson located?

Kristina Wilson practices at 2575 Westgate Bldg 1, Pendleton, OR 97801. The listed phone number is (541) 429-8721.

What is Kristina Wilson's specialty?

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

When was this NPI record last updated?

The NPPES record for Kristina Wilson was last updated on March 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.