Individual provider Active NPI

Jennifer E. Chang, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1417007147
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00006942 Issued in WA
Practice address
3429 45TH Ave SW
Seattle, WA 98116-3330
Phone
(206) 548-5850
Fax
(206) 973-8676
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 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 LH00006942 WA Primary

Addresses

Primary practice location

3429 45TH Ave SW
Seattle, WA 98116-3330

Mailing address

1200 12TH Ave S Ste 901
Seattle, WA 98144-2712
Phone (206) 548-3114

Other practice location 1

8311 Beacon Ave S
Seattle, WA 98118-4323
Phone (206) 548-3168

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240103003929 WA Practitioner - Mental Health Counselor 1557712569 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH00006942WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborcare Health CurrentSince Jan 1, 2024 Accepting new patients
Neighborcare Health Current Accepting new patients
Neighborcare Health CurrentSince Jan 1, 2024 Accepting new patients
Neighborcare Health Current Accepting new patients

Locations

6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950

1629 N 45th St
Seattle, WA 98103
Phone (206) 633-3350

8311 Beacon Ave S
Seattle, WA 98118
Phone (206) 548-3168

4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650

1200 12th Ave S
Ste 901
Seattle, WA 98144
Phone (206) 548-3058

3429 45th Ave SW
Seattle, WA 98116
Phone (206) 933-7842

9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981

12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326

Organizations & group practices 4

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1417007147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 12TH AVE S STE 901",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442712",
            "telephone_number": "206-548-3114",
            "fax_number": "206-762-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3429 45TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981163330",
            "telephone_number": "206-548-5850",
            "fax_number": "206-973-8676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8311 Beacon Ave S",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981184323",
            "country_code": "US",
            "telephone_number": "206-548-3168",
            "fax_number": "206-548-3169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "JENNIFER",
        "middle_name": "E.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00006942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.