Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Codie Wilson

Individual provider Mental Health Counselor · NPI 1396239901

Codie Wilson is a Mental Health Counselor in Springfield, Oregon. Qualified in 2022, 4 years ago. Registered with an NPI since 2018.

Years since qualifying
4
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

1705 Centennial Blvd Ste 2
Springfield, OR 97477-3320
Phone: (541) 818-0009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence PROFESSIONALLICENSE
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1396239901
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 18, 2018
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023
Mailing address1705 Centennial Blvd Ste 2, Springfield, OR 97477-3320

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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