Active NPI
Jacquez Patterson
- Counselor
- Olympia, WA
National Provider Identifier
1639066392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CG70013244
- Practice address
- 402 Yauger Way SW
Olympia, WA 98502-8660 - Phone
- (360) 878-8248
- NPI assigned
- Jun 23, 2025
- Last updated
- Jun 17, 2026
- Sex
- Male
- Sole proprietor
- No
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 | CG70013244 | WA | Primary |
Addresses
Primary practice location
402 Yauger Way SW
Olympia, WA 98502-8660
Mailing address
4941 Greenwood Dr SW Unit 101
Olympia, WA 98502-2584
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
| License | State | Type | Specialty |
|---|---|---|---|
| CG70013244 | WA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Community Services WW | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Olympia, WA
- NPI 1568785293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1639066392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4941 GREENWOOD DR SW UNIT 101",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985022584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 YAUGER WAY SW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985028660",
"telephone_number": "360-878-8248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "JACQUEZ",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-23",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "CG70013244",
"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 Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.