Active NPI
Catherine Anne Jenner
- Counselor
- North Bend, WA
National Provider Identifier
1427328707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.