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JESSICA LARSON-WU LPC
NPI 1508109653
Counselor - Professional in Beaverton, OR

Active since March 27, 2013PECOS Enrolled
12725 SW MILLIKAN WAY STE 300, BEAVERTON, OR 97005(503) 506-0371 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jessica Larson-wu Lpc NPPES

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

JESSICA LARSON-WU LPC (NPI 1508109653) is an individual professional provider in Beaverton, Oregon, licensed in Oregon (C5461) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1508109653
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA LARSON-WUCredential: LPC
Location Address12725 SW MILLIKAN WAY STE 300Beaverton, OR 97005-1687
Mailing Address10940 Sw Barnes Rd # 236Portland, OR 97225-5368 · (503) 506-0371
Phone(503) 506-0371
Sole ProprietorYes
Enumeration DateMarch 27, 2013
Last NPPES UpdateOctober 23, 2025
NPPES CertifiedOctober 23, 2025
✔ NPI 1508109653 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 · C5461
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
12725 SW MILLIKAN WAY STE 300, Beaverton, OR 97005
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Other Names 1

Former Name (1)Jessica Larson

Secondary Practice Location 1

Location 18383 NE Sandy Blvd.Portland, OR 97220-4967 · Phone (503) 253-0964

Other Identifiers 1

Medicaid500826285OR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Larson-wu Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Larson-wu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Northwest Catholic Counseling Center
12 mi
Mental Health
8383 NE SANDY BLVD, SUITE 205
Portland, OR 97220
  • Reassigned Medicare billing, Oregon enrollment
  • 10 clinicians in this Medicare group
NPI 1619091279 (503) 253-0964

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

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.

RESTORING BALANCE LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
Washington County (503) 749-9076
VICTORIA MARIE RANDLE
Nurse Practitioner (Psychiatric/Mental Health)
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
Washington County (971) 413-7199
KELSEY ELIZABETH HUBER
Counselor (Mental Health)
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
Washington County (503) 906-7945
ALEXANDER FREEMAN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
Washington County (833) 931-1716
SARA AL MUGHAIRY
Counselor
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
Washington County (971) 246-5970
SERENITY HOME CARE LLC
In Home Supportive Care
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
Washington County (503) 520-9400
MEGAN RENEE LOGSDON
Counselor
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
Washington County (503) 303-0304
WELLNESS BY DESIGN, LLC
Clinic/Center (Primary Care)
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
Washington County (971) 998-9747

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 Jessica Larson-wu's NPI number?

The NPI number for Jessica Larson-wu is 1508109653. It was assigned to this individual provider in the NPPES registry on March 27, 2013. The provider is also known as Jessica Larson.

Where is Jessica Larson-wu located?

Jessica Larson-wu practices at 12725 SW Millikan Way Ste 300, Beaverton, OR 97005. The listed phone number is (503) 506-0371.

What is Jessica Larson-wu's specialty?

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

Is Jessica Larson-wu enrolled in Medicare?

Yes. Jessica Larson-wu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Larson-wu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Larson-wu reassigns Medicare benefits to The Northwest Catholic Counseling Center (Portland, OR). The 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 Jessica Larson-wu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Larson-wu was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.