JESSICA LARSON-WU (LPC) – Professional Counselor, NPI 1508109653

JESSICA LARSON-WU (LPC) is a healthcare provider. based in Portland, Oregon. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. C5461 (OR). The NPI Number for JESSICA LARSON-WU (LPC) is 1508109653

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA LARSON-WU (LPC)
NPI
1508109653
Phone
(503) 253-0964
Address
8383 NE Sandy Blvd.
Enumeration Date
27 March 2013
Last Update Date
23 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5032530964
Graduation Year
2012 (14 years ago)
PAC ID
7315468667
Group Practice PAC ID
0840289013
Professional Enrollment ID
I20250304000899
Address ID
OR972204967PO8383XBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:13State licenses:1Digital endpointsOther names

1,216 MENTAL HEALTH COUNSELOR in OR

Provider Addresses for JESSICA LARSON-WU (LPC)

  • 8383 NE Sandy Blvd.

    Portland, OR 972204967

    Phone: (503) 253-0964

    Type: Location

  • 8425 N LOMBARD ST

    PORTLAND, OR 972033728

    Phone: (971) 207-1972

    Type: Mailing

  • 10940 SW BARNES RD # 236

    PORTLAND, OR 972255368

    Phone: (503) 506-0371

    Type: Mailing

  • 12725 SW MILLIKAN WAY STE 300

    BEAVERTON, OR 970051687

    Phone: (503) 506-0371

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-04

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250304000899IMental Health CounselorORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97220)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840289013View full group profile
NameSpecialtyState
Mental Health CounselorOR
Mental Health CounselorOR
Mental Health CounselorOR
Mental Health CounselorOR
Mental Health CounselorWA

Reviews

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Frequently asked questions

Where can patients find JESSICA LARSON-WU (LPC)'s NPI?
You can confirm JESSICA LARSON-WU (LPC) with NPI 1508109653; it appears in the national provider directory.
Is JESSICA LARSON-WU (LPC)'s NPI currently valid?
The extract we use shows JESSICA LARSON-WU (LPC) as active.
Does JESSICA LARSON-WU (LPC) list a primary specialty?
If you are matching referrals, note Professional Counselor for JESSICA LARSON-WU (LPC). Clinical services aligned with this taxonomy classification.
Does JESSICA LARSON-WU (LPC) practice in Oregon?
You will see Portland, Oregon on file for JESSICA LARSON-WU (LPC) alongside any extra practice locations.
What if Portland, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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