JACKSON WILSHIRE M.A., LPC-INT
NPI 1609273168
Counselor - Mental Health in Longview, WA
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Jackson Wilshire reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vancouver, WA 98686
- Reassigned Medicare billing, Washington and Oregon enrollments
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- Also billed through NPI 1093043424 (Oregon)
- 2,534 clinicians in this Medicare group
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.
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.
Which organization bills Medicare for Jackson Wilshire's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jackson Wilshire reassigns Medicare benefits to Manor Care Of Salmon Creek Wa, Association (Vancouver, WA). 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 Jackson Wilshire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jackson Wilshire accept?
Health plans from Ambetter Health, 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 14 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.
# Jackson Wilshire, M.A., LPC-INT · NPI 1609273168
Mental Health provider in Longview, Washington. Individual provider, active in the CMS NPPES registry since November 28, 2014.
## Identity
- **NPI:** 1609273168 (Entity type: Individual)
- **Enumerated:** November 28, 2014
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LH60925398 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1230 7TH AVE, Longview, WA 98632-3166
- **Phone:** (800) 813-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Manor Care Of Salmon Creek Wa, Association (NPI 1609171081, Vancouver, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** July 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1609273168) · Data from the CMS NPPES public registry.