Individual provider Active NPI

Jenipher S Gaffney, LMHC

  • Mental Health Counselor
  • Vancouver, WA
National Provider Identifier
1578857926
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60174997 Issued in WA
Practice address
2503 E Evergreen Blvd
Vancouver, WA 98661-4322
Phone
(360) 694-6416
Fax
(360) 694-8534
NPI assigned
Jun 2, 2011
Last updated
Jun 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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 LH60174997 WA Primary

Addresses

Primary practice location

2503 E Evergreen Blvd
Vancouver, WA 98661-4322

Mailing address

2503 E Evergreen Blvd
Vancouver, WA 98661-4322
Phone (360) 694-6416

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
I20240226002656 WA Practitioner - Mental Health Counselor 5496190852 Practice locations: Vancouver, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH60174997WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1578857926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 E EVERGREEN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986614322",
            "telephone_number": "360-694-6416",
            "fax_number": "360-694-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 E EVERGREEN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986614322",
            "telephone_number": "360-694-6416",
            "fax_number": "360-694-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFFNEY",
        "first_name": "JENIPHER",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60174997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.