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

Active since March 27, 2013PECOS EnrolledAccepts Medicare Assignment
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: July 19, 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, maintains a secondary practice location in Portland, and is a graduate of Other (2012).

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
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
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

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

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

Jessica Larson-wu 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.

PECOS PAC ID7315468667
PECOS Enrollment IDI20250304000899
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 20

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

In Home Supportive Care
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
Counselor (Professional)
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
Social Worker (Clinical)
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
Clinic/Center (Mental Health (Including Community Mental Health Center))
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
Counselor (Professional)
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
Counselor (Mental Health)
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
Counselor (Mental Health)
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
Psychologist (Counseling)
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508109653, enumerated as an "individual" on March 27, 2013.

The provider is located at 12725 SW MILLIKAN WAY STE 300 BEAVERTON, OR 97005 and the phone number is (503) 506-0371.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Kaiser Permanente, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.