Jacob Sloan, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61248965 Issued in WA

Practice address

203 4TH Ave E Ste 501
Olympia, WA 98501-1190

Phone

(360) 207-0083

NPI assigned

Aug 24, 2019

Last updated

Mar 10, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lantern Counseling LLC

  • Mental Health Counselor
  • Olympia, WA
  • NPI 1568118750
  NPD Authorized official

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

{
    "created_epoch": "1566604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1568019438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 LEGION WAY SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 4TH AVE E STE 501",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011190",
            "telephone_number": "360-207-0083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Legion Way SW",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "98501",
            "country_code": "US",
            "telephone_number": "360-207-0083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "JACOB",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-24",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61248965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosann V Slagel, LMT
• Conrad Slater, LCO
• Sloan Family Chiropractic, P.S.
• David Sloan, D.C.
• Heather Jo Sloan, D.C.
• Tasha Lyn Sloan, MSW, LICSW
• April Christine Slocum, MA, LMFTA
• Katie Smigaj, M.A.
• Smile Care
• Smith Family Senior Care, LLC (Home Instead Senior Care)

• Mental Health Counselor in Olympia, WA
• Providers in Olympia, 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 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.