Individual provider Active NPI

Jacqueline May, MA, LMHC

  • Mental Health Counselor
  • Fox Island, WA
National Provider Identifier
1104323443
Registry record updated May 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61006357 Issued in WA
Practice address
587 6TH Ave # 6
Fox Island, WA 98333-9740
Phone
(206) 548-4020
NPI assigned
Apr 12, 2018
Last updated
May 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X WA
Mental Health Counselor 101YM0800X LH61006357 WA Primary

Addresses

Primary practice location

587 6TH Ave # 6
Fox Island, WA 98333-9740

Mailing address

PO Box 257
PMB 8550
Olympia, WA 98507
Phone (206) 548-4020

Other names 1

  • Jacqueline Masters Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH61006357WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715385600000",
    "number": "1104323443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 257",
            "address_2": "PMB 8550",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98507",
            "telephone_number": "206-548-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 6TH AVE # 6",
            "city": "FOX ISLAND",
            "state": "WA",
            "postal_code": "983339740",
            "telephone_number": "206-548-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAY",
        "first_name": "JACQUELINE",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61006357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "MASTERS",
            "credential": "BS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fox Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2024; 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.