Jackie L Alas, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LW00009404 Issued in WA

Practice address

900 7TH St
Clarkston, WA 99403-2005

Phone

(509) 758-3341

Fax

(509) 769-6057

NPI assigned

Mar 11, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Malone Counseling Service, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orofino, ID
  • NPI 1427388388
  NPD

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1538339049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 7TH ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032005",
            "telephone_number": "509-758-3341",
            "fax_number": "509-769-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 7TH ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032005",
            "telephone_number": "509-758-3341",
            "fax_number": "509-769-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAS",
        "first_name": "JACKIE",
        "middle_name": "L",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LW00009404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "LW00009404",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Clarissa Adams, RPH
• Ryan Samuel Adams, DMD
• Kiesha Ade
• Tracy Lynn Adkins, ARNP-C
• Mohamad Altayeb Al-Hafez, MD
• Albertsons LLC
• Mayra Albor-Martinez
• Noha Emhammed Algallai
• Charmaine R Allen-Johnson, ARNP
• Elizabeth Marie Allen-Racicot, L.M.P.

• Mental Health Counselor in Clarkston, WA
• Providers in Clarkston, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.