Individual provider Active NPI

Jenny Page Wilkerson

  • Counselor
  • Seattle, WA
National Provider Identifier
1114870664
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CAAR.CG.70100467 Issued in WA
Practice address
2212 S Jackson St
Seattle, WA 98144-2591
Phone
(206) 322-2387
NPI assigned
Feb 16, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CAAR.CG.70100467 WA Primary
Peer Specialist 175T00000X CPST.PE.70105655 WA

Addresses

Primary practice location

2212 S Jackson St
Seattle, WA 98144-2591

Mailing address

9026 18TH Ave SW Unit B
Seattle, WA 98106-2373
Phone (253) 677-0434

Other practice location 1

9026 18th Ave SW Unit B
Seattle, WA 98106-2373
Phone (253) 677-0434

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

NPI Registry JSON

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

{
    "created_epoch": "1771200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1114870664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9026 18TH AVE SW UNIT B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981062373",
            "telephone_number": "253-677-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 S JACKSON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442591",
            "telephone_number": "206-322-2387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9026 18th Ave SW Unit B",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981062373",
            "country_code": "US",
            "telephone_number": "253-677-0434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "JENNY",
        "middle_name": "PAGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CAAR.CG.70100467",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": "CPST.PE.70105655",
            "primary": false
        }
    ],
    "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 Sep 11, 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.