Individual provider Active NPI

Jody Allen, LMHC

  • Mental Health Counselor
  • Arlington, WA
National Provider Identifier
1043873300
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61320263 Issued in WA
Practice address
307 N Olympic Ave Ste 203
Arlington, WA 98223-1351
Phone
(425) 906-5089
NPI assigned
Apr 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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 LH61320263 WA Primary

Addresses

Primary practice location

307 N Olympic Ave Ste 203
Arlington, WA 98223-1351

Mailing address

307 N Olympic Ave Ste 203
Arlington, WA 98223-1351
Phone (425) 906-5089

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

State licenses

LicenseStateTypeSpecialty
LH61320263WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Calming Waves Counseling Mental Health Current Accepting new patients
Beautiful Autism Mental Health Past Accepting new patients

Locations

307 N Olympic Ave
Ste 203
Arlington, WA 98223
Phone (360) 480-0693

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1043873300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N OLYMPIC AVE STE 203",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231351",
            "telephone_number": "425-906-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N OLYMPIC AVE STE 203",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231351",
            "telephone_number": "425-906-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JODY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61320263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.