Active NPI
Jason Guest, MSW
- Social Worker
- Wenatchee, WA
National Provider Identifier
1649642778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LW60631148
- Practice address
- 145 S Worthen St
Wenatchee, WA 98801 - Phone
- (509) 662-6761
- NPI assigned
- Oct 28, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP60864912 | WA | |
| Social Worker | 104100000X | LW60631148 | WA | Primary |
Addresses
Primary practice location
145 S Worthen St
Wenatchee, WA 98801
Mailing address
145 S Worthen St
Wenatchee, WA 98801-3081
Phone (509) 662-6761
Other practice location 1
640 South Mission
Wenatchee, WA 98801
Phone (509) 662-6761
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2069864 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP60864912 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Current | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539216000000",
"number": "1649642778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 S WORTHEN ST",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988013081",
"telephone_number": "509-662-6761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 S WORTHEN ST",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "98801",
"telephone_number": "509-662-6761"
}
],
"practiceLocations": [
{
"address_1": "640 South Mission",
"address_purpose": "LOCATION",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "98801",
"country_code": "US",
"telephone_number": "509-662-6761",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUEST",
"first_name": "JASON",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-28",
"last_updated": "2018-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP60864912",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "LW60631148",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2069864",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.