Jodi Marie Youngquist, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

60881855 Issued in WA

Practice address

11102 Sunrise Blvd E Ste 100
Puyallup, WA 98374-8846

Phone

(253) 205-5807

NPI assigned

Jun 20, 2019

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 identifiers 1

Electronic endpoints 1

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": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1104486158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 19TH ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983727123",
            "telephone_number": "253-205-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11102 SUNRISE BLVD E STE 100",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983748846",
            "telephone_number": "253-205-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGQUIST",
        "first_name": "JODI",
        "middle_name": "MARIE",
        "credential": "LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60881855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
            "identifier": "60881855",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thrivecounseling@comcast.net",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11102 Sunrise Blvd E Ste 100",
            "city": "Puyallup",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983748846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mindi L Young, LMP
• Randy E Young, LMP
• Sharon Yvonne Young, PH.D, LMFT
• Thomas Warren Young, DPT
• Jennifer Beth Younggren, M.D.
• Deborah Yu, DDS
• Edward Jaehun Yu
• Vivian Mae Yu, MD
• Jingqian Yuan
• Lauren Yuckert, LPN

• Mental Health Counselor in Puyallup, WA
• Providers in Puyallup, 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 Jun 20, 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.