Jennifer Reisberg, MA, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC60613549 Issued in WA

Practice address

2711 E Madison St
Suite 204a
Seattle, WA 98112-4749

Phone

(206) 486-0107

NPI assigned

Oct 13, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Inside Out Therapy Alliance, LLC

  • Mental Health Counselor
  • Seattle, WA
  • NPI 1346697158
  NPD (past) Authorized official

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463875200000",
    "number": "1285038729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 E MADISON ST",
            "address_2": "SUITE 204A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124749",
            "telephone_number": "206-486-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 E MADISON ST",
            "address_2": "SUITE 204A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124749",
            "telephone_number": "206-486-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISBERG",
        "first_name": "JENNIFER",
        "credential": "MA, LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2016-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60613549",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Anna Reinstein, L.AC, M.AC
• Bianca Reis, APRN
• Caroline Reis
• Joseph Reis III, M.D.
• Karl Reis
• Tae-Peter Reischauer, LICSW
• Jessica Reisinger, MD
• Sarah W Reisler, DPT
• Emma Reisman, MD
• Maxwell Nathaniel Reisner

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2016; 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.