Christian St. Jacques, LMHCA (MC 61093652)

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

61093652 Issued in WA

Practice address

4030 Lake Washington Blvd NE Ste 201
Kirkland, WA 98033-7870

Phone

(206) 590-1393

NPI assigned

Nov 18, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Narrative Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kirkland, WA
  • NPI 1205439726
  NPD Authorized official

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1467055947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11441 81ST AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343558",
            "telephone_number": "206-351-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 LAKE WASHINGTON BLVD NE STE 201",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337870",
            "telephone_number": "206-590-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. JACQUES",
        "first_name": "CHRISTIAN",
        "name_prefix": "Mr.",
        "credential": "LMHCA (MC 61093652)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-18",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61093652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanne Spromberg, LD, CLE, PMH-C, CPD
• Sprout Clubhouse
• SRC Homecare, Inc.
• Ismail Ssebuliba
• Renee St Jacques, PSY.D
• Madison Sta.Ines
• Stable Ground Therapy, LLC
• Shobha Williamson Stack, M.D.
• Jessica Stackman
• Sabrina Lynn Stair, MD

• Mental Health Counselor in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.