JENNIFER M WAKEMAN NCC, LMHC, SUDP
NPI 1629130299
Counselor - Addiction (Substance Use Disorder) in Vancouver, WA

Active since December 13, 2006PECOS EnrolledAccepts Medicare Assignment
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684(360) 896-4460(360) 896-4478 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer M Wakeman Ncc, Lmhc, Sudp NPPES

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

JENNIFER M WAKEMAN NCC, LMHC, SUDP (NPI 1629130299) is an individual addiction (substance use disorder) provider in Vancouver, Washington, licensed in Washington (CP00006159) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Vancouver, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1629130299
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJENNIFER M WAKEMANCredential: NCC, LMHC, SUDP
Location Address12607 SE MILL PLAIN BLVDVancouver, WA 98684
Mailing Address12607 Se Mill Plain BlvdVancouver, WA 98684-6055 · (360) 896-4460 · Fax (360) 896-4478
Fax(360) 896-4478
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateDecember 13, 2006
Last NPPES UpdateDecember 21, 2021
NPPES CertifiedDecember 21, 2021
✔ NPI 1629130299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CP00006159
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LH00009179 (WA)
12607 SE MILL PLAIN BLVD, Vancouver, WA 98684

Secondary Practice Location 1

Location 16926 NE Fourth Plain BlvdVancouver, WA 98661 · Phone (360) 993-3000 · Fax (360) 993-3047

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

Jennifer M Wakeman Ncc, Lmhc, Sudp 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 ID9537507520
PECOS Enrollment IDI20240410001416
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 Jennifer Wakeman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
500 NE MULTNOMAH ST
Portland, OR 97232
  • Reassigned Medicare billing, Washington enrollment
  • 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.

Counselor (Addiction (Substance Use Disorder))
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Emergency Medicine
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Optometrist
12607 SE MILL PLAIN BLVD, KAISER PERMANENTE CASCADE PARK MEDICAL FACILITY
VANCOUVER, WA 98684
Counselor (Mental Health)
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Family Medicine
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Family Medicine
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Internal Medicine
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684

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 Jennifer Wakeman's NPI number?

The NPI number for Jennifer Wakeman is 1629130299. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Jennifer Wakeman located?

Jennifer Wakeman practices at 12607 SE Mill Plain Blvd, Vancouver, WA 98684. The listed phone number is (360) 896-4460.

What is Jennifer Wakeman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Jennifer Wakeman enrolled in Medicare?

Yes. Jennifer Wakeman 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 Jennifer Wakeman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Wakeman reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (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 Jennifer Wakeman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Wakeman accept?

Health plans from Kaiser Permanente list Jennifer Wakeman 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 Jennifer Wakeman was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.