Jean-Luke Bartlett
Individual provider Active NPI Professional Counselor · Kent, WA
NPI 1043633928 · NPPES record last updated Aug 21, 2025
Key facts
- NPI
- 1043633928
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LH61607877 (OR)
- Practice address
- 24909 104TH Ave SE Ste 101
Kent, WA 98030-2819 - Phone
- (405) 582-0641
- NPI assigned
- Jan 28, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH61607877 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Community Services Northwest | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LH61607877 | OR | Yes |
Addresses
Primary practice location
24909 104TH Ave SE Ste 101
Kent, WA 98030-2819
Mailing address
16840 190TH Ave SE
Renton, WA 98058-0812
Phone (206) 412-5769
Other providers in Kent, WA
- Lourdes Berenice Barr
- Jasmine A Barrett
- Grace Barrie
- Barry a Quam DC PS
- Sarah E Bartholomew
- Inna Barvinenko
- Sara Barbara Basil
- Robert Bruce Baucke
- Lauren Elizabeth Bauer
- Nicole Joyce D Lasquete Bautista
All providers in Kent, WA · Professional Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.