Individual provider Active NPI

Jenifer Lehne Ferguson, MA

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1295965747
Registry record updated Dec 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60228658 Issued in WA
Practice address
5470 Shilshole Ave NW Ste 510
Seattle, WA 98107-4040
Phone
(206) 619-7628
NPI assigned
Jul 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60228658 WA 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
Phone (206) 619-7628

Other identifiers 1

IdentifierTypeStateIssuer
60228658OtherWALMHC

Other names 1

  • Jensa Ferguson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240910000947 WA Practitioner - Mental Health Counselor 7416497052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH60228658WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1247875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576281600000",
    "number": "1295965747",
    "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",
            "telephone_number": "206-619-7628"
        },
        {
            "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": "FERGUSON",
        "first_name": "JENIFER",
        "middle_name": "LEHNE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-18",
        "last_updated": "2019-12-14",
        "certification_date": "2019-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60228658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC",
            "identifier": "60228658",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENSA",
            "last_name": "FERGUSON",
            "credential": "MA, LMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.