Individual provider Active NPI

Jessica Wride

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1104633908
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3614 California Ave SW Ste B
Seattle, WA 98116-3780
Phone
(206) 705-3060
NPI assigned
Dec 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3614 California Ave SW Ste B
Seattle, WA 98116-3780

Mailing address

3614 California Ave SW Ste B
Seattle, WA 98116-3780
Phone (206) 705-3060

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Change Therapy, PLLC CurrentSince Dec 22, 2024 Accepting new patients
Anova Therapy PLLC PastSince Dec 22, 2024 Accepting new patients

Locations

3614 California Ave SW
Ste B
Seattle, WA 98116
Phone (206) 588-5435

Organizations & group practices 2

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": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1104633908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 CALIFORNIA AVE SW STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981163780",
            "telephone_number": "206-705-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 CALIFORNIA AVE SW STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981163780",
            "telephone_number": "206-705-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIDE",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-16",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.