Jessica Acolin, LMHCA
Individual provider Active NPI Mental Health Counselor · Seattle, WA
NPI 1376010363 · NPPES record last updated Oct 27, 2018
Key facts
- NPI
- 1376010363
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MC60781882 (WA)
- Practice address
- 851 Poplar PL S
Seattle, WA 98144-2827 - Phone
- (206) 322-2387
- NPI assigned
- Oct 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| MC60781882 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community House Mental Health Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC60781882 | WA | Yes |
Addresses
Primary practice location
851 Poplar PL S
Seattle, WA 98144-2827
Mailing address
2020B S Main St
Seattle, WA 98144-2211
Phone (126) 731-2946
Other providers in Seattle, WA
- Carrie Rachel Ackerman
- Lisa Ackerman
- Stanford H. Ackley
- Gail Acob
- Phillip Ruiz Acoba
- Acorn and Oak Behavioral and Educational Services LLC
- Wendy Acorn
- David Al Acosta
- Marilyn Acquah
- Haley Marie Acra
All providers in Seattle, 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 27, 2018. 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.