JENNIFER MARCELLA WIRT LMHC
NPI 1902409709
Counselor - Mental Health in Raymond, WA

Q: What is Jennifer Wirt's NPI number?

The NPI number for Jennifer Wirt is 1902409709. It was assigned to this individual provider in the NPPES registry on November 16, 2020.

Q: What is Jennifer Wirt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Wirt was last updated on September 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 16, 2020PECOS Enrolled

300 OCEAN AVE, RAYMOND, WA 98577(360) 942-3040(360) 942-3955 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jennifer Marcella Wirt Lmhc NPPES

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

JENNIFER MARCELLA WIRT LMHC (NPI 1902409709) is an individual mental health provider in Raymond, Washington, licensed in Washington (LH61306829) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902409709

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJENNIFER MARCELLA WIRTCredential: LMHC

Location Address300 OCEAN AVERaymond, WA 98577-3016

Mailing Address2690 Ne Kresky AveChehalis, WA 98532-2412 · (360) 330-9595 · Fax (360) 330-9560

Phone(360) 942-3040

Fax(360) 942-3955

Sole ProprietorNo

Enumeration DateNovember 16, 2020

Last NPPES UpdateSeptember 18, 2023

NPPES CertifiedSeptember 18, 2023

✔ NPI 1902409709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in WA · LH61306829

300 OCEAN AVE, Raymond, WA 98577

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Other Identifiers 1

Medicaid2212708WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Marcella Wirt Lmhc 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.

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.

SOUTH BEND CLINIC DBA RIVERVIEW HEALTH CENTER

Family Medicine