Active NPI
Chelsei Gene Jackson-Day, CDPT
- Counselor
- Kalama, WA
National Provider Identifier
1275099822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 5351 Meeker Drive
Kalama, WA 98625 - Phone
- (360) 355-4954
- NPI assigned
- Feb 19, 2019
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
5351 Meeker Drive
Kalama, WA 98625
Mailing address
PO Box 426
Kalama, WA 98625-0500
Phone (360) 355-4954
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60927102 | Other | WA | STATE OF WASHINGTON DEPARTMENT OF HEALTH |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550534400000",
"number": "1275099822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 426",
"city": "KALAMA",
"state": "WA",
"postal_code": "986250500",
"telephone_number": "360-355-4954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5351 MEEKER DRIVE",
"city": "KALAMA",
"state": "WA",
"postal_code": "98625",
"telephone_number": "360-355-4954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON-DAY",
"first_name": "CHELSEI",
"middle_name": "GENE",
"credential": "CDPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-19",
"last_updated": "2019-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WASHINGTON DEPARTMENT OF HEALTH",
"identifier": "60927102",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kalama, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.