Jessica Suz-Anne Talevich, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60855861 Issued in WA

Practice address

3101 Oakes Ave FL 2
Everett, WA 98201

Phone

(360) 296-3581

NPI assigned

Apr 18, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Jessica Suz-Anne Schreiber Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Re-Source Now PLLC

  • Mental Health Counselor
  • Twisp, WA
  • NPI 1649971060
  NPD (past)

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572048000000",
    "number": "1073870762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21005 83RD AVE W",
            "address_2": "#15",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267051",
            "telephone_number": "425-361-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 OAKES AVE FL 2",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98201",
            "telephone_number": "360-296-3581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2821 Mission Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Tulalip",
            "state": "WA",
            "postal_code": "982719706",
            "country_code": "US",
            "telephone_number": "360-716-4347",
            "fax_number": "360-651-4404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALEVICH",
        "first_name": "JESSICA",
        "middle_name": "SUZ-ANNE",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2019-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60855861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SCHREIBER",
            "middle_name": "SUZ-ANNE",
            "prefix": "MISS",
            "credential": "BA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Oliver Shu-on Tai, MD
• Rebecca Taicz, PHARMD
• Daniele Taitague
• Lucas Tatsuki Takeuchi
• Jason Anthony Talavera, M.D.
• Salvatore J Taliercio, MD
• Kyle Aaron Talkington
• Sandra Shauna Tallar, MS
• Lindsey Brie Tallent
• Maricres M. Talley, R.N.

• Mental Health Counselor in Everett, WA
• Providers in Everett, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2019; 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.