Active NPI
Jensa Ferguson, LMHC, Inc.
- Adult Mental Health Clinic/Center
- Seattle, WA
National Provider Identifier
1427701549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- JENSA FERGUSON, LMHC, INC.
- Practice address
- 5470 Shilshole Ave NW Ste 510
Seattle, WA 98107-4040 - Phone
- (206) 619-7628
- NPI assigned
- Jan 29, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenifer L Ferguson, LMHC
- Title
- Owner, President
- Phone
- (206) 619-7628
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Evolve Counseling Seattle
National Provider Directory
National Provider DirectoryLocations
5470 Shilshole Ave NW
Ste 510
Seattle, WA 98107
Phone (206) 412-4708
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Seattle, WA
- NPI 1497426704
-
- Mental Health Counselor
- Seattle, WA
- NPI 1235558040
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.