Jeanette Lynn Edmister, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61130661 Issued in WA

Practice address

1498 SE Tech Center PL # 189
Vancouver, WA 98683-9591

Phone

(360) 619-2226

NPI assigned

Aug 3, 2021

Last updated

Feb 10, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Jeanette Edmister PLLC

  • Mental Health Counselor
  • Vancouver, WA
  • NPI 1811792609
  NPD Authorized official
• Real Life Counseling PLLC

  • Clinical Social Worker
  • Vancouver, WA
  • NPI 1053782078
  NPD
• Real Life Community Behavioral Health PLLC

  • Mental Health Counselor
  • Vancouver, WA
  • NPI 1952063265
  NPD (past)

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1639843782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 NE 154TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986861410",
            "telephone_number": "360-513-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 SE TECH CENTER PL # 189",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839591",
            "telephone_number": "360-619-2226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 NE 154th St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986861410",
            "country_code": "US",
            "telephone_number": "360-513-2835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3606 Main St",
            "address_2": "Ste 202",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986632235",
            "country_code": "US",
            "telephone_number": "360-619-2226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3305 Main St Ste 9",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986632272",
            "country_code": "US",
            "telephone_number": "360-513-2835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDMISTER",
        "first_name": "JEANETTE",
        "middle_name": "LYNN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61130661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Joy Edgar, LMP
• Bradly J Edgerton, PH.D., CCC-A
• Kari Edgren, CRNA
• Susan E Edington, CDP
• Brent Lee Edison, PHARM.D., R.PH.
• Christy Edmiston
• Stephanie Edmonds
• Educational Service District 112
• Educational Service District 112
• Educational Service District 112

• Mental Health Counselor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.