Jada Eisenhall

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY61400982 Issued in WA

Practice address

7902 168TH Ave NE Ste 101
Redmond, WA 98052-4445

Phone

(425) 996-8592

NPI assigned

Jul 12, 2023

Last updated

Feb 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Western Psychological and Counseling Services LLCGroup PAC ID 7719975085, 331 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Western Psychological and Counseling Services LLC

  dba LifeStance Health

  • Clinical Psychologist
  • Vancouver, WA
  • NPI 1629345731
  Medicare reassignment Care Compare group NPD
• Lightheart Associates PS

  • Psychologist
  • Redmond, WA
  • NPI 1609221720
  NPD
• Dr. Kathleen Worsley

  • Counseling Psychologist
  • Redmond, WA
  • NPI 1619484821
  NPD (past)

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1396424859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7902 168TH AVE NE STE 101",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7902 168TH AVE NE STE 101",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524445",
            "telephone_number": "425-996-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENHALL",
        "first_name": "JADA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY61400982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophie Edelman
• Laura C Eggers, OTR/L
• Randall James Eggert, D.D.S.
• Nima Ehsan, MD, DDS
• Theron Davis Eichenberger, DDS
• Emily Ekanger
• Kelsey Leigh El Fassy Fihry, DOULA
• Ellen Vyas DDS PLLC (Revive Dental Redmond)
• Jason T Elliott, AGACNP
• Meredith E Ellis, ARNP, MSN

• Clinical Psychologist in Redmond, WA
• Providers in Redmond, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.