Individual provider Active NPI

Jess Goodenow Mason, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1548894405
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61014420 Issued in WA
Practice address
753 N 35TH Street, Suite 310
Fremont Professional Center
Seattle, WA 98103-8873
Phone
(425) 539-0525
Fax
(425) 553-3988
NPI assigned
Feb 28, 2020
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61014420 WA Primary

Addresses

Primary practice location

753 N 35TH Street, Suite 310
Fremont Professional Center
Seattle, WA 98103-8873

Mailing address

753 N 35TH St Ste 310
Seattle, WA 98103-8873
Phone (425) 539-0525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20241008001192 WA Practitioner - Mental Health Counselor 0446781975 Practice locations: Seattle, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Seattle, WA 98103
Phone (425) 539-0525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH61014420WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Touchstone Counseling Alliance PLLC Mental Health CurrentSince Jul 28, 2024 Accepting new patients

Locations

753 N 35th St
Ste 310
Seattle, WA 98103
Phone (206) 234-1905

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": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1548894405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 N 35TH ST STE 310",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038873",
            "telephone_number": "425-539-0525",
            "fax_number": "425-553-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 N 35TH STREET, SUITE 310",
            "address_2": "FREMONT PROFESSIONAL CENTER",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038873",
            "telephone_number": "425-539-0525",
            "fax_number": "425-553-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "JESS",
        "middle_name": "GOODENOW",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2020-02-28",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61014420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.