Active NPI
Jeanette Thorson, LMFT
- Mental Health Counselor
- Edmonds, WA
National Provider Identifier
1194129312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LF61053632
- Practice address
- 18604 Sound View PL
Edmonds, WA 98020-2356 - Phone
- (206) 276-9633
- NPI assigned
- Oct 17, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Mental Health Counselor | 101YM0800X | LF61053632 | WA | Primary |
Addresses
Primary practice location
18604 Sound View PL
Edmonds, WA 98020-2356
Mailing address
1600 E Olive St
Sound Mental Health
Seattle, WA 98122-2735
Phone (206) 302-2200
Other names 1
- Jeanette Floyd
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | jeaenette@navigatefamilytherapy.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 11, 2024 through Jan 11, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LF61053632 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587686400000",
"number": "1194129312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 E OLIVE ST",
"address_2": "SOUND MENTAL HEALTH",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981222735",
"telephone_number": "206-302-2200",
"fax_number": "206-302-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18604 SOUND VIEW PL",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980202356",
"telephone_number": "206-276-9633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORSON",
"first_name": "JEANETTE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-17",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LF61053632",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "jeaenette@navigatefamilytherapy.com",
"affiliation": "N",
"endpointDescription": "web email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "18604 Sound View Pl",
"city": "Edmonds",
"state": "WA",
"country_code": "US",
"postal_code": "980202356",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JEANETTE",
"last_name": "FLOYD",
"credential": "BA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.