KIMBERLY WIRTH LPC
NPI 1730831140
Counselor - Professional in Portland, OR

Active since January 26, 2022PECOS Enrolled
9135 SW BARNES RD STE 987, PORTLAND, OR 97225(503) 216-2811 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 3, 2024, Jan 26, 2022 (2 updates tracked since 2022).

About Kimberly Wirth Lpc NPPES

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

KIMBERLY WIRTH LPC (NPI 1730831140) is an individual professional provider in Portland, Oregon, licensed in Oregon (C7824) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730831140
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIMBERLY WIRTHCredential: LPC
Location Address9135 SW BARNES RD STE 987Portland, OR 97225-6646
Mailing Address1215 Se Cora StPortland, OR 97202-5024 · (951) 312-9373
Sole ProprietorNo
Enumeration DateJanuary 26, 2022
Last NPPES UpdateJanuary 3, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2024
✔ NPI 1730831140 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 · C7824
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License C7824 (OR)
9135 SW BARNES RD STE 987, Portland, OR 97225

Other Names 1

Former Name (1)Kimberly Smith

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Wirth 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 Reassignments

3

Medicare enrollment records show Kimberly Wirth reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
9135 SW BARNES RD STE 761
Portland, OR 97225
  • Reassigned Medicare billing, Oregon enrollment
  • 1,501 clinicians in this Medicare group
Clinic/Center
9205 SW BARNES RD, SUITE 20
Portland, OR 97225
  • Reassigned Medicare billing, Oregon enrollment
  • 753 clinicians in this Medicare group
General Acute Care Hospital
4805 NE GLISAN ST
Portland, OR 97213
  • Reassigned Medicare billing, Oregon enrollment
  • 676 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

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

Dietitian, Registered
9135 SW BARNES RD STE 987
PORTLAND, OR 97225

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 Kimberly Wirth's NPI number?

The NPI number for Kimberly Wirth is 1730831140. It was assigned to this individual provider in the NPPES registry on January 26, 2022. The provider is also known as Kimberly Smith.

Where is Kimberly Wirth located?

Kimberly Wirth practices at 9135 SW Barnes Rd Ste 987, Portland, OR 97225. The listed phone number is (503) 216-2811.

What is Kimberly Wirth's specialty?

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

Is Kimberly Wirth enrolled in Medicare?

Yes. Kimberly Wirth is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kimberly Wirth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Wirth reassigns Medicare benefits to 3 organizations: Providence Health & Services - Oregon (Portland, OR), Providence Health & Services - Oregon (Portland, OR) and Providence Health & Services - Oregon (Portland, OR). Each 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 Kimberly Wirth'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 Kimberly Wirth was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.