Active NPI
Jayne Pelger, MS LMHC CDP
- Addiction (Substance Use Disorder) Counselor
- Kent, WA
National Provider Identifier
1326515644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CP00002445
- Practice address
- 232 2ND Ave S
Kent, WA 98032-5862 - Phone
- (253) 859-0300
- NPI assigned
- Oct 24, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH00005393 | WA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP00002445 | WA | Primary |
Addresses
Primary practice location
232 2ND Ave S
Kent, WA 98032-5862
Mailing address
232 2ND Ave S
Kent, WA 98032-5862
Phone (253) 859-0300
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP00002445 | WA | MD | Addiction (Substance Use Disorder) Counselor |
| LH00005393 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1326515644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 2ND AVE S",
"city": "KENT",
"state": "WA",
"postal_code": "980325862",
"telephone_number": "253-859-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 2ND AVE S",
"city": "KENT",
"state": "WA",
"postal_code": "980325862",
"telephone_number": "253-859-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELGER",
"first_name": "JAYNE",
"credential": "MS LMHC CDP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-24",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00005393",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP00002445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.