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

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: November 01, 2026.

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
Open in Google Maps ↗

Other Identifiers 1

Medicaid2212708WA

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Wirt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lewis County Community Health Services
0.1 mi
Federally Qualified Health Center (FQHC)
300 OCEAN AVE
Raymond, WA 98577
  • Reassigned Medicare billing, Washington enrollment
  • 68 clinicians in this Medicare group
NPI 1205196540 (360) 942-3040

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.

KATIE WYMORE
Counselor (Mental Health)
300 OCEAN AVE
RAYMOND, WA 98577
Pacific County (360) 942-2303
CASSANDRA DIANE HANSEN
Case Manager/Care Coordinator
300 OCEAN AVE
RAYMOND, WA 98577
Pacific County (360) 942-2303
MR. WILLIAM ALBERT GRIMBERG LMHC
Counselor (Mental Health)
300 OCEAN AVE
RAYMOND, WA 98577
Pacific County (360) 942-2303
LEWIS COUNTY COMMUNITY HEALTH SERVICES
Clinic/Center (Federally Qualified Health Center (FQHC))
300 OCEAN AVE
RAYMOND, WA 98577
Pacific County (360) 942-3040
TOBI N THALLER MD
Family Medicine
300 OCEAN AVE
RAYMOND, WA 98577
Pacific County (360) 942-3040
LASHIEL CHRISTOPHER MORNINGSTAR
Counselor (Mental Health)
300 OCEAN AVE
RAYMOND, WA 98577
Pacific County (541) 676-9161
CARRIE LEE FAIRBAIRN
Community Health Worker
300 OCEAN AVE
RAYMOND, WA 98577
Pacific County (360) 942-3040
KRISTI CARMAN MA
Nurse's Aide
300 OCEAN AVE
RAYMOND, WA 98577
Pacific County (360) 584-6303

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 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.

Where is Jennifer Wirt located?

Jennifer Wirt practices at 300 Ocean Ave, Raymond, WA 98577. The listed phone number is (360) 942-3040.

What is Jennifer Wirt's specialty?

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

Is Jennifer Wirt enrolled in Medicare?

Yes. Jennifer Wirt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Wirt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Wirt reassigns Medicare benefits to Lewis County Community Health Services (Raymond, WA). 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 Wirt'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 Jennifer Wirt was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.