Individual provider Active NPI

Cynthia Jacox, PHD

  • Counselor
  • Covington, WA
National Provider Identifier
1215092937
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
RC00027939 Issued in WA
Practice address
17121 SE 270TH PL
Ste #205
Covington, WA 98042-5431
Phone
(253) 638-7475
Fax
(253) 638-7465
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X RC00027939 WA Primary
Psychologist 103T00000X PY00002069 WA

Addresses

Primary practice location

17121 SE 270TH PL
Ste #205
Covington, WA 98042-5431

Mailing address

17121 SE 270TH PL
Ste #205
Covington, WA 98042-5431
Phone (253) 638-7475

Other identifiers 2

IdentifierTypeStateIssuer
8917777OtherWACRIME VICTIMS NUMBER
111940OtherWAL & I NUMBER

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
RC00027939WAMDCounselor
PY00002069WAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1215092937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17121 SE 270TH PL",
            "address_2": "STE #205",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980425431",
            "telephone_number": "253-638-7475",
            "fax_number": "253-638-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17121 SE 270TH PL",
            "address_2": "STE #205",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980425431",
            "telephone_number": "253-638-7475",
            "fax_number": "253-638-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOX",
        "first_name": "CYNTHIA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "RC00027939",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00002069",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS NUMBER",
            "identifier": "8917777",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I NUMBER",
            "identifier": "111940",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.