Jennifer Mahaffey, LMHCA, SUDPT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC61294065 Issued in WA

Practice address

3773 Martin Way E Ste 107
Olympia, WA 98506-4400

Phone

(360) 688-7312

NPI assigned

Jul 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer Studstrup Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1366175192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 CROSBY BLVD SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127820",
            "telephone_number": "808-221-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3773 MARTIN WAY E STE 107",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064400",
            "telephone_number": "360-688-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAFFEY",
        "first_name": "JENNIFER",
        "credential": "LMHCA, SUDPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO61345268",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61294065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "STUDSTRUP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael B Magno, L.P.T.
• Jodine L. Magnusson
• Paul Magnusson, BC-HIS
• Kathleen Janine Magonigle, ARNP
• Terence Mah, D.D.S., M.S.
• Amanda Anne Mahoney
• Jaymie An Mai, PHARM.D.
• Montana Maichel, LMP, CIMI
• Jessica R Maike
• Denise L Main, PHARM D

• Mental Health Counselor in Olympia, WA
• Providers in Olympia, 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 9, 2022; 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.