Jennifer Wendt Edwards, MA,LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60717278 Issued in WA

Practice address

16710 Smokey Point Blvd Ste 402
Arlington, WA 98223-8435

Phone

(360) 363-4234

Fax

(360) 363-4235

NPI assigned

Jul 13, 2011

Last updated

Dec 17, 2018By 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

Other identifiers 1

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

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Beautiful Autism

  • Mental Health Counselor
  • Arlington, WA
  • NPI 1841651585
  NPD

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1417245234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16710 SMOKEY POINT BLVD STE 402",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238435",
            "telephone_number": "360-363-4234",
            "fax_number": "360-363-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16710 SMOKEY POINT BLVD STE 402",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238435",
            "telephone_number": "360-363-4234",
            "fax_number": "360-363-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JENNIFER",
        "middle_name": "WENDT",
        "credential": "MA,LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60717278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2066179",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DW Han DMD PLLC. (Arlington Family Dentistry)
• John T. Dykstra, D.D.S., P.L.L.C
• Jessie Jiyeon Dziduch, FNP-C
• Eagle Family Dental Center
• Eberhardt Vision Center, Inc (Arlington Vision Center)
• Sarah Eickhoff
• Edward W Eissmann, MD
• Ekapoj Thongin III, DMD, PLLC (8 to 8 DENTAL SMOKEY POINT)
• Jennifer Marie Eldridge, MA, CCC-SLP
• Sophany Elgin, RN

• Mental Health Counselor in Arlington, WA
• Providers in Arlington, 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 Dec 17, 2018; 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.