Individual provider Active NPI

Jessie Jean Waiamau-Ariota, LMHC

  • Mental Health Counselor
  • Puyallup, WA
National Provider Identifier
1629615760
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60837200 Issued in WA
Practice address
Winds of Liberty
702 S Hill Park Dr Ste 206
Puyallup, WA 98373
Phone
(253) 770-5956
NPI assigned
Dec 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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 LH60837200 WA Primary

Addresses

Primary practice location

Winds of Liberty
702 S Hill Park Dr Ste 206
Puyallup, WA 98373

Mailing address

33003 47TH Ave SW
Federal Way, WA 98023-3212
Phone (850) 384-2702

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
LH60837200WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1629615760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33003 47TH AVE SW",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980233212",
            "telephone_number": "850-384-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WINDS OF LIBERTY",
            "address_2": "702 S HILL PARK DR STE 206",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "98373",
            "telephone_number": "253-770-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAIAMAU-ARIOTA",
        "first_name": "JESSIE",
        "middle_name": "JEAN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60837200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.