Individual provider Active NPI

Jolyn Wells-Moran, PHD, MSW, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1023338563
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60151388 Issued in WA
Practice address
1200 6TH Ave
Suite 2001
Seattle, WA 98101-3123
Phone
(206) 354-5025
Fax
(206) 624-7626
NPI assigned
Jun 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60151388 WA Primary

Addresses

Primary practice location

1200 6TH Ave
Suite 2001
Seattle, WA 98101-3123

Mailing address

15214 12TH Ave NE
Shoreline, WA 98155-7118
Phone (206) 354-5025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LH60151388WAMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275868800000",
    "number": "1023338563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15214 12TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981557118",
            "telephone_number": "206-354-5025",
            "fax_number": "206-624-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 6TH AVE",
            "address_2": "SUITE 2001",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013123",
            "telephone_number": "206-354-5025",
            "fax_number": "206-624-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS-MORAN",
        "first_name": "JOLYN",
        "name_prefix": "Dr.",
        "credential": "PHD, MSW, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60151388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.