Jodi Renae Bagge, MA, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

61165255 Issued in WA

Practice address

1900 NW Dock PL Ste 3
Seattle, WA 98107-4846

Phone

(206) 274-5889

NPI assigned

Aug 4, 2021

Last updated

Aug 4, 2021By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Folktown Counseling LLC

  • Mental Health Counselor
  • Seattle, WA
  • NPI 1124257795
  NPD (past)

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1346914140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16202 11TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981556342",
            "telephone_number": "206-963-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 NW DOCK PL STE 3",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074846",
            "telephone_number": "206-274-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGGE",
        "first_name": "JODI",
        "middle_name": "RENAE",
        "credential": "MA, LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61165255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reem Bagajati, MSCOT
• Rocco Paul Bagala, LICSW
• Matthew Bagayas
• Joshua Bagdon, LMT
• Michael Brendan Bagg, MD
• Molly K. Baggett, M.D.
• Rana Bagheri, DO
• Charles M Bagley Jr., MD
• John R. Bagley, LMP
• Megan Ashley Bagley, SUDP

• 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 Aug 4, 2021; 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.