KENLIN WILDER MBA, MS MHC
NPI 1801209606
Counselor - Mental Health in Portland, OR
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
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 (PECOS)
Kenlin Wilder Mba, Ms Mhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kenlin Wilder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Roseburg, OR 97471
- Reassigned Medicare billing, Oregon enrollment
- 73 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.
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.
Which organization bills Medicare for Kenlin Wilder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenlin Wilder reassigns Medicare benefits to Roseburg Therapy LLC (Roseburg, 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 Kenlin Wilder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Kenlin Wilder, MBA, MS MHC · NPI 1801209606
Mental Health provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since June 9, 2014.
## Identity
- **NPI:** 1801209606 (Entity type: Individual)
- **Enumerated:** June 9, 2014
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8528 NW MENDENHALL ST, Portland, OR 97229-4191
- **Phone:** (508) 364-8867
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Roseburg Therapy LLC (NPI 1538665013, Roseburg, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** June 9, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1801209606) · Data from the CMS NPPES public registry.