Individual provider Active NPI

Jess Dale, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1366840274
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60384102 Issued in WA
Practice address
4864 Rainier Ave S
Seattle, WA 98118-1742
Phone
(206) 451-9405
NPI assigned
Dec 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 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 LH60384102 WA Primary

Addresses

Primary practice location

4864 Rainier Ave S
Seattle, WA 98118-1742

Mailing address

PO Box 257
PMB 6832
Olympia, WA 98507
Phone (425) 276-1459

Other practice location 1

2366 Eastlake Ave E Ste 232
Seattle, WA 98102-6500
Phone (206) 451-9405

Other practice location 2

10501 Meridian Ave N
Suite D
Seattle, WA 98133-9509
Phone (206) 451-9405

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

State licenses

LicenseStateTypeSpecialty
LH60384102WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Artful Healing LLC CurrentSince Jan 7, 2024 Accepting new patients

Locations

4864 Rainier Ave S
Seattle, WA 98118
Phone (206) 451-9405

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": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1366840274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 257",
            "address_2": "PMB 6832",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98507",
            "telephone_number": "425-276-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4864 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181742",
            "telephone_number": "206-451-9405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2366 Eastlake Ave E Ste 232",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981026500",
            "country_code": "US",
            "telephone_number": "206-451-9405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10501 Meridian Ave N",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981339509",
            "country_code": "US",
            "telephone_number": "206-451-9405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALE",
        "first_name": "JESS",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60384102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 4, 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.