Individual provider Active NPI

Catherine Anne Jenner

  • Counselor
  • North Bend, WA
National Provider Identifier
1427328707
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
42660 SE 102ND St
Connects Counselinbg
North Bend, WA 98045-9400
Phone
(206) 595-2920
Fax
(815) 301-1913
NPI assigned
Jan 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

42660 SE 102ND St
Connects Counselinbg
North Bend, WA 98045-9400

Mailing address

42660 SE 102ND St
Connects Counselinbg
North Bend, WA 98045-9400
Phone (206) 595-2920

Other names 1

  • Catherine Anne Hull Former name

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
I20240220003054 WA Practitioner - Mental Health Counselor 8628482528 Practice locations: North Bend, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

42660 SE 102ND St
North Bend, WA 98045-9400
Phone (206) 595-2920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1427328707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42660 SE 102ND ST",
            "address_2": "CONNECTS COUNSELINBG",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980459400",
            "telephone_number": "206-595-2920",
            "fax_number": "815-301-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42660 SE 102ND ST",
            "address_2": "CONNECTS COUNSELINBG",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980459400",
            "telephone_number": "206-595-2920",
            "fax_number": "815-301-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNER",
        "first_name": "CATHERINE",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-04",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "HULL",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Bend, WA

Sources for this page

Verify at the official NPI Registry.