Active NPI
Jessica Leigh Weis, MA, LMHC
- Mental Health Counselor
- Auburn, WA
National Provider Identifier
1649337445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00011027
- Practice address
- 4238 Auburn Way N
Sound Mental Health
Auburn, WA 98002-1311 - Phone
- (253) 876-7626
- Fax
- (206) 876-7610
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | RC00050490 | WA | |
| Mental Health Counselor | 101YM0800X | LH00011027 | WA | Primary |
Addresses
Primary practice location
4238 Auburn Way N
Sound Mental Health
Auburn, WA 98002-1311
Mailing address
1600 E Olive St
Seattle Mental Health
Seattle, WA 98122-2735
Phone (206) 302-2200
Other names 1
- Jessica Leigh Prokash
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00011027 | WA | MD | Mental Health Counselor |
| RC00050490 | WA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224633600000",
"number": "1649337445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 E OLIVE ST",
"address_2": "SEATTLE MENTAL HEALTH",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981222735",
"telephone_number": "206-302-2200",
"fax_number": "206-302-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4238 AUBURN WAY N",
"address_2": "SOUND MENTAL HEALTH",
"city": "AUBURN",
"state": "WA",
"postal_code": "980021311",
"telephone_number": "253-876-7626",
"fax_number": "206-876-7610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIS",
"first_name": "JESSICA",
"middle_name": "LEIGH",
"credential": "MA, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2008-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WA",
"license": "RC00050490",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00011027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "PROKASH",
"middle_name": "LEIGH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.