Individual provider Active NPI

Jessica M Taylor, LMFT

  • Marriage & Family Therapist
  • Spokane, WA
National Provider Identifier
1467927756
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2677-R Issued in NV
Practice address
200 N Bernard St
Spokane, WA 99201-0206
Phone
(509) 354-7946
NPI assigned
Oct 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60796155 WA
Marriage & Family Therapist 106H00000X 2677-R NV Primary

Addresses

Primary practice location

200 N Bernard St
Spokane, WA 99201-0206

Mailing address

200 N Bernard St
Spokane, WA 99201-0206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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

Enrollment IDStateProvider typePAC IDDetails
I20240719002815 NV Practitioner - Marriage and Family Therapist 7315483898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5404 Whitsett Ave
Suite 191
Valley Village, CA 91607-1615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH60796155WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Zeeva Integrative Licensed Clinical Social Worker Services, PC CurrentSince Jun 8, 2024 Accepting new patients

Locations

5404 Whitsett Ave
Valley Vlg, CA 91607
Phone (818) 574-0078

2625 Wigwam Pkwy
Ste 108
Henderson, NV 89074
Phone (702) 451-1522

2520 Saint Rose Pkwy
Ste 108
Henderson, NV 89074
Phone (747) 205-0896

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1467927756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N BERNARD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N BERNARD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010206",
            "telephone_number": "509-354-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-12",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60796155",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "2677-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.