Active NPI
Jill Klenota, MFT
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1215199153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LF00002564
- Practice address
- 1100 Virginia St
Suite 210
Seattle, WA 98101-1439 - Phone
- (206) 902-4271
- NPI assigned
- Jul 1, 2008
- 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 | LF00002564 | WA | Primary |
Addresses
Primary practice location
1100 Virginia St
Suite 210
Seattle, WA 98101-1439
Mailing address
1100 Virginia St Ste 210
Seattle, WA 98101-1430
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 7, 2025 through Jan 7, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LF00002564 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214870400000",
"number": "1215199153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 VIRGINIA ST STE 210",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 VIRGINIA ST",
"address_2": "SUITE 210",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011439",
"telephone_number": "206-902-4271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLENOTA",
"first_name": "JILL",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-01",
"last_updated": "2008-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LF00002564",
"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 Jul 1, 2008; 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.