Individual provider Active NPI

Jannae Estrada Rice, LMHC, CN, LMP,

  • Mental Health Counselor
  • Kirkland, WA
National Provider Identifier
1083048532
Registry record updated Jan 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60774623 Issued in WA
Practice address
13128 Totem Lake Blvd NE
# 104
Kirkland, WA 98034-2953
Phone
(508) 843-1880
NPI assigned
Sep 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X NU 60300922 WA
Mental Health Counselor 101YM0800X LH60774623 WA Primary

Addresses

Primary practice location

13128 Totem Lake Blvd NE
# 104
Kirkland, WA 98034-2953

Mailing address

16520 North Rd Apt C203
Bothell, WA 98012-5961
Phone (508) 843-1880

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
LH60774623WAMDMental Health Counselor
NU 60300922WAMDNutrition Education Nutritionist

NPI Registry JSON

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

{
    "created_epoch": "1378080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516406400000",
    "number": "1083048532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16520 NORTH RD APT C203",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980125961",
            "telephone_number": "508-843-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13128 TOTEM LAKE BLVD NE",
            "address_2": "# 104",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342953",
            "telephone_number": "508-843-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "JANNAE",
        "middle_name": "ESTRADA",
        "credential": "LMHC, CN, LMP,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-02",
        "last_updated": "2018-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "WA",
            "license": "NU 60300922",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60774623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2018; 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.