Active NPI
Jessica Barnett, CDPT
- Addiction (Substance Use Disorder) Counselor
- Yakima, WA
National Provider Identifier
1417519752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CO60876420
- Practice address
- 2280 Sr 821
Yakima, WA 98901 - Phone
- (509) 457-0990
- Fax
- (509) 454-4548
- NPI assigned
- Jul 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CO60876420 | WA | Primary |
Addresses
Primary practice location
2280 Sr 821
Yakima, WA 98901
Mailing address
PO Box 217
Selah, WA 98942-0217
Phone (509) 457-0990
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
| License | State | Type | Specialty |
|---|---|---|---|
| CO60876420 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sundown M Ranch | Past | Accepting new patients | |
| Sundown M Ranch | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Substance Abuse Rehabilitation Facility
- Yakima, WA
- NPI 1154474104
-
- Family Medicine Physician
- Yakima, WA
- NPI 1285223305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1417519752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 217",
"city": "SELAH",
"state": "WA",
"postal_code": "989420217",
"telephone_number": "509-457-0990",
"fax_number": "509-454-4548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2280 SR 821",
"city": "YAKIMA",
"state": "WA",
"postal_code": "98901",
"telephone_number": "509-457-0990",
"fax_number": "509-454-4548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNETT",
"first_name": "JESSICA",
"credential": "CDPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-08",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CO60876420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.