Active NPI
Jennifer L Vonschondorf
- Mental Health Counselor
- Bothell, WA
National Provider Identifier
1194333245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 10614 Beardslee Blvd Ste C
Bothell, WA 98011-3279 - Phone
- (425) 256-2125
- NPI assigned
- Jul 15, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
10614 Beardslee Blvd Ste C
Bothell, WA 98011-3279
Mailing address
11871 SE 160TH St
Renton, WA 98058-5318
Phone (920) 212-0222
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inside Health Institute | Mental Health | Current | Accepting new patients |
Locations
10614 Beardslee Blvd
Ste C
Bothell, WA 98011
Phone (206) 300-0859
Organizations & group practices 1
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": "1594771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1194333245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11871 SE 160TH ST",
"city": "RENTON",
"state": "WA",
"postal_code": "980585318",
"telephone_number": "920-212-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10614 BEARDSLEE BLVD STE C",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980113279",
"telephone_number": "425-256-2125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONSCHONDORF",
"first_name": "JENNIFER",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-15",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.