Individual provider Active NPI

Jolene Suzanne Stokesberry, LMHCA

  • Mental Health Counselor
  • Olympia, WA
National Provider Identifier
1629364013
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60205027 Issued in WA
Practice address
120 Pear St NE
Olympia, WA 98506-3939
Phone
(360) 791-6287
NPI assigned
Jun 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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 MC60205027 WA Primary

Addresses

Primary practice location

120 Pear St NE
Olympia, WA 98506-3939

Mailing address

120 Pear St NE
Olympia, WA 98506-3939
Phone (360) 791-6287

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

State licenses

LicenseStateTypeSpecialty
MC60205027WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1629364013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PEAR ST NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985063939",
            "telephone_number": "360-791-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PEAR ST NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985063939",
            "telephone_number": "360-791-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKESBERRY",
        "first_name": "JOLENE",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60205027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.