Individual provider Active NPI

Jamelyn Keatts, MA

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1467841460
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60498732 Issued in WA
Practice address
2900 Eastlake Ave E Ste 220
Seattle, WA 98102-3012
Phone
(408) 836-2896
NPI assigned
Jan 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60498732 WA Primary

Addresses

Primary practice location

2900 Eastlake Ave E Ste 220
Seattle, WA 98102-3012

Mailing address

2900 Eastlake Ave E Ste 220
Seattle, WA 98102-3012
Phone (408) 836-2896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 7, 2025 through Jan 7, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH60498732WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1467841460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 EASTLAKE AVE E STE 220",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023012",
            "telephone_number": "408-836-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 EASTLAKE AVE E STE 220",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023012",
            "telephone_number": "408-836-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATTS",
        "first_name": "JAMELYN",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60498732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.