Lola Jett, SUDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CO 60521530 Issued in WA

Practice address

16715 Aurora Ave N # 102
Shoreline, WA 98133-5310

Phone

(206) 546-9766

NPI assigned

Apr 6, 2015

Last updated

Oct 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Therapeutic Health Services

  dba Shoreline Branch

  • Methadone Clinic
  • Shoreline, WA
  • NPI 1144312877

  Addiction (Substance Use Disorder)

  NPD
• Catholic Community Services Western Washington

  dba CCS RECOVERY CENTER-Snohomish

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Everett, WA
  • NPI 1669645073
  NPD (past)
• Therapeutic Health Services

  • Methadone Clinic
  • Shoreline, WA
  • NPI 1548606171
  NPD (past)

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1629463617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 WETMORE AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012927",
            "telephone_number": "425-258-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16715 AURORA AVE N # 102",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981335310",
            "telephone_number": "206-546-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETT",
        "first_name": "LOLA",
        "credential": "SUDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "60763564",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60763564",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO 60521530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Jenkins, L.AC.
• Keary Jenks, LMFT
• Andrew Jennison, CF-SLP
• Elise Christine Jensen, LMP
• Randi Jean Jensen, LMHC, CCDC
• Min Jiang
• Jung H Joh, MD
• Shannon Johansen
• John Abano MD PLLC
• John G. Finch, DO, PS

• Addiction (Substance Use Disorder) Counselor in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.