Active NPI
Jennifer Lynette Thurston, LMHC
- Mental Health Counselor
- Suquamish, WA
National Provider Identifier
1326397043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60538673
- Practice address
- 18914 Angeline Ave NE
Suquamish, WA 98392-9779 - Phone
- (360) 994-0348
- NPI assigned
- Sep 10, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CG60320642 | WA | |
| Counselor | 101Y00000X | MC60332588 | WA | |
| Mental Health Counselor | 101YM0800X | MC60332588 | WA | |
| Mental Health Counselor | 101YM0800X | CG60320642 | WA | |
| Mental Health Counselor | 101YM0800X | LH60538673 | WA | Primary |
Addresses
Primary practice location
18914 Angeline Ave NE
Suquamish, WA 98392-9779
Mailing address
18914 Angeline Ave NE
Suquamish, WA 98392-9779
Phone (360) 994-0348
Other names 1
- Jennifer Lynette Connors
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG60320642 | WA | MD | Mental Health Counselor |
| LH60538673 | WA | MD | Mental Health Counselor |
| MC60332588 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1326397043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18914 ANGELINE AVE NE",
"city": "SUQUAMISH",
"state": "WA",
"postal_code": "983929779",
"telephone_number": "360-994-0348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18914 ANGELINE AVE NE",
"city": "SUQUAMISH",
"state": "WA",
"postal_code": "983929779",
"telephone_number": "360-994-0348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THURSTON",
"first_name": "JENNIFER",
"middle_name": "LYNETTE",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-10",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "CG60320642",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "MC60332588",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC60332588",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "CG60320642",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60538673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "CONNORS",
"middle_name": "LYNETTE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Suquamish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.