Active NPI
Jentry L Wright, MS, LMHCA, MFT
- Mental Health Counselor
- Mountlake Terrace, WA
National Provider Identifier
1467194340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61464699
- Practice address
- 21907 64TH Ave W Ste 200
Mountlake Terrace, WA 98043-6200 - Phone
- (425) 578-5144
- NPI assigned
- Apr 11, 2022
- Last updated
- Jan 24, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC61464699 | WA | Primary |
Addresses
Primary practice location
21907 64TH Ave W Ste 200
Mountlake Terrace, WA 98043-6200
Mailing address
1861 Elhardt St
Camano Island, WA 98282-6320
Phone (360) 913-3539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC61464699 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Longview, WA
- NPI 1639693781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1467194340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1861 ELHARDT ST",
"city": "CAMANO ISLAND",
"state": "WA",
"postal_code": "982826320",
"telephone_number": "360-913-3539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21907 64TH AVE W STE 200",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980436200",
"telephone_number": "425-578-5144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "JENTRY",
"middle_name": "L",
"credential": "MS, LMHCA, MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-11",
"last_updated": "2025-01-24",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61464699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountlake Terrace, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.