Individual provider Active NPI

Red Jennifer Spektor, MA, LMHCA

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1366102162
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61233506 Issued in WA
Practice address
520 2ND Ave W Apt 102
Seattle, WA 98119-3977
Phone
(847) 323-6463
NPI assigned
Dec 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC61233506 WA Primary

Addresses

Primary practice location

520 2ND Ave W Apt 102
Seattle, WA 98119-3977

Mailing address

1203 James St Apt 206
Seattle, WA 98104-2105

Other names 1

  • Miss Jennifer Spektor Professional name

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 Arts

State licenses

LicenseStateTypeSpecialty
MC61233506WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optimism Counseling PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1366102162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 JAMES ST APT 206",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 2ND AVE W APT 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981193977",
            "telephone_number": "847-323-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEKTOR",
        "first_name": "RED",
        "middle_name": "JENNIFER",
        "name_prefix": "Miss",
        "credential": "MA, LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-21",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61233506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SPEKTOR",
            "prefix": "MISS",
            "credential": "MA, LMHCA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.