Emotesy Child and Family Counseling Services, PLLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

EMOTESY CHILD AND FAMILY COUNSELING SERVICES, PLLC

Doing business as

Jennifer Daffon, PsyD, LMHC

Practice address

19730 64TH Ave W Ste 301
Lynnwood, WA 98036-5957

Phone

(425) 686-9627

Fax

(206) 489-3100

NPI assigned

Jul 15, 2020

Last updated

Jul 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Klocker Daffon, PSYD.NPI 1730271313

Title

Owner

Phone

(425) 344-2596

Specialties & licenses 2

Addresses

Other names 1

• Jennifer Daffon, PsyD, LMHC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Klocker Daffon, PSYD.

  • Clinical Child & Adolescent Psychologist
  • Lynnwood, WA
  • NPI 1730271313

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1629686654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19730 64TH AVE W STE 301",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365957",
            "telephone_number": "425-686-9627",
            "fax_number": "206-489-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19730 64TH AVE W STE 301",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365957",
            "telephone_number": "425-686-9627",
            "fax_number": "206-489-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMOTESY CHILD AND FAMILY COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "DAFFON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "KLOCKER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-344-2596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennifer Daffon, PsyD, LMHC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jennifer Daffon, PsyD, LMHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Marie Ellison, MS, RD, CDE
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• Wesley Ryan Elzea
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• Clinical Child & Adolescent Psychologist in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Clinical Child & Adolescent Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.