Active NPI
Sonya Jendoubi, M.S.
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1518512979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1904 3Rd Ave
Seattle, WA 98101-1126 - Phone
- (206) 309-5990
- NPI assigned
- Aug 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | WA | Primary |
Addresses
Primary practice location
1904 3Rd Ave
Seattle, WA 98101-1126
Mailing address
541 Hearst Ave
San Francisco, CA 94112-1352
Phone (415) 730-1505
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sonya@seattleanxiety.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle Anxiety, PLLC | Mental Health | Past | Accepting new patients |
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": "1564704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1518512979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 HEARST AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941121352",
"telephone_number": "415-730-1505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 3RD AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011126",
"telephone_number": "206-309-5990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENDOUBI",
"first_name": "SONYA",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-02",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sonya@seattleanxiety.com",
"affiliation": "Y",
"endpointDescription": "HIPPA protected email account Hushmail",
"address_1": "1904 3rd Ave",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981011126",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.