NPIMap

Organization Active NPI

James Morley Professional Service

  • Mental Health Counselor
  • North Bend, WA
National Provider Identifier
1467953729
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LF60780219 Issued in WA
Legal business name
JAMES MORLEY PROFESSIONAL SERVICE
Practice address
1309 Bendigo Blvd N
North Bend, WA 98045-8945
Phone
(425) 209-8216
NPI assigned
Feb 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Authorized official

Name
Ms. Jenna Laurize Patterson, MS, LMFT, CDPNPI 1720338957
Title
Co-Owner
Phone
(425) 209-8216

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X CP60296823 WA
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X LF60780219 WA Primary

Addresses

Primary practice location

1309 Bendigo Blvd N
North Bend, WA 98045-8945

Mailing address

1309 Bendigo Blvd N
North Bend, WA 98045-8945
Phone (425) 209-8216

Other identifiers 2

IdentifierTypeStateIssuer
1417256389OtherNPPES
1720338957OtherNPPES

Other names 1

  • Reflections Counseling Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250708000972 WA Part B Supplier - Clinic/Group Practice 6608380175 Receives reassigned benefits from 2 practitioners
Practice locations: North Bend, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1467953729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 BENDIGO BLVD N",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458945",
            "telephone_number": "425-209-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 BENDIGO BLVD N",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458945",
            "telephone_number": "425-209-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES MORLEY PROFESSIONAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "LAURIZE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "425-209-8216",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LMFT, CDP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60296823",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LF60780219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1417256389",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1720338957",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reflections Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Bend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.