Jillian Clarke Correa
Individual provider Active NPI Mental Health Counselor · Mercer Island, WA
NPI 1356830699 · NPPES record last updated Oct 6, 2023
Key facts
- NPI
- 1356830699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LH60999126 (WA)
- Practice address
- 7202 N Mercer Way
Mercer Island, WA 98040-2132 - Phone
- (425) 276-1802
- NPI assigned
- May 2, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60999126 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Emily Program, PC | Past |
Accepting new patients | |
| Emily Program PC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60999126 | WA | Yes |
Addresses
Primary practice location
7202 N Mercer Way
Mercer Island, WA 98040-2132
Mailing address
7202 N Mercer Way
Mercer Island, WA 98040-2132
Phone (425) 463-9414
Other providers in Mercer Island, WA
- City of Mercer Island
- Erica Lynne Clark
- Tumaini Rucker Coker
- Paul Dewitt Conrad
- Cormedical, Inc.
- Covenant Living West
- Creative Speech and Language Services PLLC
- Crescent Outpatient and Wellness PLLC
- Crescent Outpatient and Wellness PLLC
- Stephanie Tisdel Creswell
All providers in Mercer Island, WA · Mental Health Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.