Jennifer McCracken Gaines, CDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

60858642 Issued in WA

Practice address

7440 W Marginal Way S
Seattle, WA 98108

Phone

(206) 768-1990

NPI assigned

Oct 10, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jennifer Ann McCracken Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Pierce County Alliance

  • Community/Behavioral Health Agency
  • Tacoma, WA
  • NPI 1588869093
  NPD (past)

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1306311899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 W MARGINAL WAY S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981084141",
            "telephone_number": "206-768-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 W MARGINAL WAY S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98108",
            "telephone_number": "206-768-1990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10344 14th Ave S",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981681689",
            "country_code": "US",
            "telephone_number": "206-763-9988 x131",
            "fax_number": "206-763-9810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAINES",
        "first_name": "JENNIFER",
        "middle_name": "MCCRACKEN",
        "credential": "CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "60858642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CEMICAL DEPENDENCY PROFESSIONAL CERTIFICATION",
            "identifier": "60858642",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MCCRACKEN",
            "middle_name": "ANN",
            "credential": "CDP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheri D. Gail, ARNP
• Amelia Gailey, LAC, EAMP
• Dean Gainer
• Aviona India Gaines
• David Gaines, LMFTA
• John F Gaines, MD
• Keaira Shatea Gaines
• Matthew Patton Gaines, PT, DPT
• Raychel Gaines
• Selina Gaitan

• Addiction (Substance Use Disorder) Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.

Verify at the official NPI Registry.