Active NPI
Jessica Mark
- Counselor
- Everett, WA
National Provider Identifier
1598150765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 811 Madison St
Everett, WA 98203-4543 - Phone
- (425) 212-4200
- Fax
- (425) 212-4241
- NPI assigned
- Apr 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
811 Madison St
Everett, WA 98203-4543
Mailing address
P.O. Box 2569
811 Madison
Everett, WA 98213
Phone (425) 212-4200
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428019200000",
"number": "1598150765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 2569",
"address_2": "811 MADISON",
"city": "EVERETT",
"state": "WA",
"postal_code": "98213",
"telephone_number": "425-212-4200",
"fax_number": "425-212-4241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 MADISON ST",
"city": "EVERETT",
"state": "WA",
"postal_code": "982034543",
"telephone_number": "425-212-4200",
"fax_number": "425-212-4241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARK",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-03",
"last_updated": "2015-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
- Marqus Marinez
- Abigail Chelsea Mariott
- Maritime Expeditionary Security Squadron Nine
- Mark Osterberg DDS & Camille Murray DDS, PLLC
- Mark Stivers, DDS, Inc., P.S. (Silver Creek Oral Surgery and Puget Sound Oral Surgery)
- Sue Amy Mark, RPH
- Anurag Markanday, MD
- Allisha Anne Markham, CO61677137
- Cady Markin
- Mandi Rae Markovsky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.