Individual provider Active NPI

Hannah Stueckle

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1235558040
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
5470 Shilshole Ave NW Ste 510
Seattle, WA 98107-4040
Phone
(206) 619-7628
NPI assigned
Apr 9, 2014
Last updated
Jan 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

5470 Shilshole Ave NW Ste 510
Seattle, WA 98107-4040

Mailing address

5470 Shilshole Ave NW Ste 510
Seattle, WA 98107-4040

Other identifiers 1

IdentifierTypeStateIssuer
1235558040OtherCA172V00000X

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Seattle

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

OrganizationSpecialtyStatusNew patients
Jensa Ferguson, LMHC, Inc. CurrentSince Feb 6, 2022 Accepting new patients

Locations

5470 Shilshole Ave NW
Ste 510
Seattle, WA 98107
Phone (206) 412-4708

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1235558040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5470 SHILSHOLE AVE NW STE 510",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5470 SHILSHOLE AVE NW STE 510",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074040",
            "telephone_number": "206-619-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUECKLE",
        "first_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "172V00000X",
            "identifier": "1235558040",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Seattle",
            "affiliation": "N",
            "address_1": "5470 Shilshole Ave NW Ste 510",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981074040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 31, 2022; 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.