Jesus Maria Nacanaynay, MA MHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CG60155223 Issued in WA

Practice address

23605 112TH Ave SE
B104
Kent, WA 98031-3533

Phone

(253) 520-1571

NPI assigned

Mar 5, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Cities Counseling and ConsultationGroup PAC ID 6406842053, 53 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Valley Cities Counseling and Consultation

  • Community/Behavioral Health Agency
  • Kent, WA
  • NPI 1972668853
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1467793240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23605 112TH AVE SE",
            "address_2": "B104",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980313533",
            "telephone_number": "253-520-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23605 112TH AVE SE",
            "address_2": "B104",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980313533",
            "telephone_number": "253-520-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACANAYNAY",
        "first_name": "JESUS",
        "middle_name": "MARIA",
        "credential": "MA MHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG60155223",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabitha Mwihaki Mwaura
• Shawn Michael Myers, MD
• Chris J Myhre, MEDICAL INTERPRETER
• Sierra Ann Myrick
• Jingyang NA, LAC
• Gracian Nachimbwe
• Azeb Nadew
• Mimi Naeemi, LMHCA, AAC
• Aditi Nagpal
• Yeongjoo Nam

• Mental Health Counselor in Kent, WA
• Providers in Kent, 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 Mar 5, 2013; 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.

Verify at the official NPI Registry.