Individual provider Active NPI

Jennifer Ladzinski

  • Counselor
  • Tacoma, WA
National Provider Identifier
1093197360
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LW60912712 Issued in WA
Practice address
1708 E 44TH St
Tacoma, WA 98404-4611
Phone
(253) 722-2161
NPI assigned
Jun 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LW60912712 WA Primary
Counselor 101Y00000X

Addresses

Primary practice location

1708 E 44TH St
Tacoma, WA 98404-4611

Mailing address

1148 Broadway Ste 100
Tacoma, WA 98402-3518
Phone (253) 722-2161

Other practice location 1

1001 N J St
Tacoma, WA 98403-2125
Phone (253) 830-6242

Other practice location 2

7610 40th St W Ste 300
University Place, WA 98466
Phone (253) 830-6242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210422002067 WA Practitioner - Clinical Social Worker 2365850880 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Jan 6, 2023 Accepting new patients
Community Health Care CurrentSince Jan 15, 2021 Accepting new patients
Community Health Care CurrentSince Jan 15, 2021 Accepting new patients
Multicare Health System CurrentSince Jan 6, 2023 Accepting new patients
Multicare Health System Current Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

134 188th St S
Spanaway, WA 98387
Phone (253) 847-2304

317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400

1708 E 44th St
Tacoma, WA 98404
Phone (253) 471-4553

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

1148 Broadway
Ste 100
Tacoma, WA 98402
Phone (253) 441-4742

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEDCAA
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1093197360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 BROADWAY STE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023518",
            "telephone_number": "253-722-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 E 44TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984044611",
            "telephone_number": "253-722-2161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 N J St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984032125",
            "country_code": "US",
            "telephone_number": "253-830-6242",
            "fax_number": "253-830-6243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7610 40th St W Ste 300",
            "address_purpose": "LOCATION",
            "city": "University Place",
            "state": "WA",
            "postal_code": "98466",
            "country_code": "US",
            "telephone_number": "253-830-6242",
            "fax_number": "253-830-6243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LADZINSKI",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "LW60912712",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.