Jessica D Jay, CP60688891 SUDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP60688891 Issued in WA

Practice address

107 S Division St
Spokane, WA 99202-1510

Phone

(509) 838-4651

NPI assigned

Dec 30, 2016

Last updated

Jul 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1053856021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S DIVISION ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021510",
            "telephone_number": "509-838-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S DIVISION ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021510",
            "telephone_number": "509-838-4651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 W 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Toppenish",
            "state": "WA",
            "postal_code": "989481527",
            "country_code": "US",
            "telephone_number": "509-865-5233",
            "fax_number": "509-865-6505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAY",
        "first_name": "JESSICA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "CP60688891 SUDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-30",
        "last_updated": "2021-07-23",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG61104191",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60688891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Engle Counseling PLLC
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• Jason Tucker DDS PLLC
• Jessica Elizabeth Jasper, LMT
• Jay Sciuchetti DDS
• Sharon Jayamohan, PHARMD
• Jaye Lavender Counseling (Jaye Lavender Psychotherapy)
• Catheryn Marie Jayne, LMHC
• Aida Jazic, MASSAGE THERAPIST
• Xzandre Javierre Jean-Francois, MAR

• Addiction (Substance Use Disorder) Counselor in Spokane, WA
• Providers in Spokane, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.