Jennifer Croke Psychotherapy

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

LW 00009685 Issued in WA

Legal business name

JENNIFER CROKE PSYCHOTHERAPY

Doing business as

South Sound Counseling

Practice address

31919 1St Ave S
203
Federal Way, WA 98003-5236

Phone

(253) 839-4172

Fax

(206) 429-2738

NPI assigned

Oct 17, 2014

Last updated

Oct 17, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

YESAs reported in NPPES

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

Authorized official

Name

Ms. Jennifer Croke, LICSWNPI 1942690813

Title

Psychotherapist

Phone

(917) 975-7712

Specialties & licenses 1

Addresses

Other names 1

• South Sound Counseling Doing business as

Part of

South Sound Counseling Consultation

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer C Croke, LICSW

  • Clinical Social Worker
  • Tacoma, WA
  • NPI 1942690813
  Authorized official Same address or phone

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1508260746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31919 1ST AVE S",
            "address_2": "203",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035236",
            "telephone_number": "253-839-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31919 1ST AVE S",
            "address_2": "203",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035236",
            "telephone_number": "253-839-4172",
            "fax_number": "206-429-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER CROKE PSYCHOTHERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YES",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "CROKE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "917-975-7712",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WA",
            "license": "LW 00009685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Sound Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darleen Kaylin Jara, RN
• Katherine Dayanna Jaramillo-Cilio, PHARMD
• Jeffrey Donovan Hart MD PS Inc (Clinic for Counseling and Psychotherapy)
• Stefanie Elizabeth Jemison
• Celena Jenne, RN, LMP
• Brittany Ann Jensen
• John Martin Jensen III, LMT
• Lindsay Annmarie Jensen, LMP
• Sarah E. Jensen, OT
• Christina Dahee Jeong, DE60762062

• Adult Mental Health Clinic/Center in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Adult Mental Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.