JACKSON WILSHIRE M.A., LPC-INT
NPI 1609273168
Counselor - Mental Health in Longview, WA

Active since November 28, 2014PECOS EnrolledAccepts Medicare Assignment
1230 7TH AVE, LONGVIEW, WA 98632(800) 813-2000 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackson Wilshire M.a., Lpc-int NPPES

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

JACKSON WILSHIRE M.A., LPC-INT (NPI 1609273168) is an individual mental health provider in Longview, Washington, licensed in Washington (LH60925398) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1609273168
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACKSON WILSHIRECredential: M.A., LPC-INT
Location Address1230 7TH AVELongview, WA 98632-3166
Mailing Address500 Ne Multnomah St Ste 100Portland, OR 97232-2031 · (800) 813-2000 · Fax (855) 524-5255
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 28, 2014
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
NPI 1609273168 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 in WA · LH60925398
1230 7TH AVE, Longview, WA 98632

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

Jackson Wilshire M.a., Lpc-int 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 ID6800231366
PECOS Enrollment IDI20240224000101
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.

Pharmacist
1230 7TH AVE
LONGVIEW, WA 98632
Social Worker (Clinical)
1230 7TH AVE
LONGVIEW, WA 98632
Nurse Practitioner
1230 7TH AVE
LONGVIEW, WA 98632
Family Medicine
1230 7TH AVE
LONGVIEW, WA 98632
Internal Medicine
1230 7TH AVE
LONGVIEW, WA 98632
Family Medicine
1230 7TH AVE
LONGVIEW, WA 98632
Technician/Technologist (Optician)
1230 7TH AVE
LONGVIEW, WA 98632
Family Medicine
1230 7TH AVE
LONGVIEW, WA 98632

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 Jackson Wilshire's NPI number?

The NPI number for Jackson Wilshire is 1609273168. It was assigned to this individual provider in the NPPES registry on November 28, 2014.

Where is Jackson Wilshire located?

Jackson Wilshire practices at 1230 7th Ave, Longview, WA 98632. The listed phone number is (800) 813-2000.

What is Jackson Wilshire's specialty?

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

Is Jackson Wilshire enrolled in Medicare?

Yes. Jackson Wilshire 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 Jackson Wilshire accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Premera Blue Cross Blue Shield of Alaska and Regence BlueCross BlueShield of Oregon list Jackson Wilshire 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 Jackson Wilshire was last updated on July 30, 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.