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KENLIN WILDER MBA, MS MHC
NPI 1801209606
Counselor - Mental Health in Portland, OR

Active since June 09, 2014PECOS Enrolled
8528 NW MENDENHALL ST, PORTLAND, OR 97229(508) 364-8867 Get Directions Write a Review

NPPES record last updated: June 9, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenlin Wilder Mba, Ms Mhc NPPES

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

KENLIN WILDER MBA, MS MHC (NPI 1801209606) is an individual mental health provider in Portland, Oregon and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1801209606
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKENLIN WILDERCredential: MBA, MS MHC
Location Address8528 NW MENDENHALL STPortland, OR 97229-4191
Mailing Address8528 Nw Mendenhall StPortland, OR 97229-4191 · (508) 364-8867
Phone(508) 364-8867
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJune 9, 2014
✔ NPI 1801209606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
8528 NW MENDENHALL ST, Portland, OR 97229
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenlin Wilder Mba, Ms Mhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123593894
PECOS Enrollment IDI20260409003492
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.

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 Kenlin Wilder's NPI number?

The NPI number for Kenlin Wilder is 1801209606. It was assigned to this individual provider in the NPPES registry on June 9, 2014.

Where is Kenlin Wilder located?

Kenlin Wilder practices at 8528 NW Mendenhall St, Portland, OR 97229. The listed phone number is (508) 364-8867.

What is Kenlin Wilder's specialty?

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

Is Kenlin Wilder enrolled in Medicare?

Yes. Kenlin Wilder is registered in the Medicare PECOS enrollment system.

What insurance does Kenlin Wilder accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Kenlin Wilder 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 Kenlin Wilder was last updated on June 9, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.