Individual provider Active NPI

Jesse C Dunn, LMHC

  • Mental Health Counselor
  • Edmonds, WA
National Provider Identifier
1679037386
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61165341 Issued in WA
Practice address
7500 212TH St SW Ste 205
Edmonds, WA 98026-7617
Phone
(425) 977-4988
NPI assigned
Jan 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61165341 WA Primary

Addresses

Primary practice location

7500 212TH St SW Ste 205
Edmonds, WA 98026-7617

Mailing address

7500 212TH St SW Ste 205
Edmonds, WA 98026-7617
Phone (425) 977-4988

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260519001279 WA Practitioner - Mental Health Counselor 4587133699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7500 212TH St SW
Suite 205
Edmonds, WA 98026-7617

PO Box
Suite 1173
Salem, UT 84653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH61165341WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Living Therapy, LLC Mental Health CurrentSince Dec 13, 2020 Accepting new patients
Jesse Dunn Counseling LLC Current Accepting new patients

Locations

7500 212th St SW
Ste 205
Edmonds, WA 98026
Phone (425) 977-4988

Organizations & group practices 2

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": "1548547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1679037386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 212TH ST SW STE 205",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267617",
            "telephone_number": "425-977-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 212TH ST SW STE 205",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267617",
            "telephone_number": "425-977-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "JESSE",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-27",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61165341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

Verify at the official NPI Registry.