NPIMap

Organization Active NPI

Jensa Ferguson, LMHC, Inc.

Doing business as Evolve Counseling Collective

  • Adult Mental Health Clinic/Center
  • Seattle, WA
National Provider Identifier
1427701549
Registry record updated Jan 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
JENSA FERGUSON, LMHC, INC.
Doing business as
Evolve Counseling Collective
Evolve Counseling Seattle
Practice address
5470 Shilshole Ave NW Ste 510
Seattle, WA 98107-4040
Phone
(206) 619-7628
NPI assigned
Jan 29, 2022
Last updated
Jan 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2022

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

Authorized official

Name
Jenifer L Ferguson, LMHCNPI 1295965747
Title
Owner, President
Phone
(206) 619-7628

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

5470 Shilshole Ave NW Ste 510
Seattle, WA 98107-4040

Mailing address

23830 78TH Ave W
Edmonds, WA 98026-8821
Phone (206) 473-7745

Other names 2

  • Evolve Counseling Collective Doing business as
  • Evolve Counseling Seattle Doing business as

National Provider Directory

National Provider Directory

Locations

5470 Shilshole Ave NW
Ste 510
Seattle, WA 98107
Phone (206) 412-4708

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1643414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643414400000",
    "number": "1427701549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23830 78TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268821",
            "telephone_number": "206-473-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5470 SHILSHOLE AVE NW STE 510",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074040",
            "telephone_number": "206-619-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENSA FERGUSON, LMHC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-29",
        "last_updated": "2022-01-29",
        "certification_date": "2022-01-29",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "206-619-7628",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve Counseling Collective",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Evolve Counseling Seattle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.