Active NPI
Jocelyn Skillman, LMHC, MHP, CMHS
- Mental Health Counselor
- Issaquah, WA
National Provider Identifier
1699217349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 60677348
- Practice address
- 545 Rainier Blvd N
Suite 21B
Issaquah, WA 98027-2806 - Phone
- (425) 985-2657
- NPI assigned
- Nov 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 60677348 | WA | Primary |
Addresses
Primary practice location
545 Rainier Blvd N
Suite 21B
Issaquah, WA 98027-2806
Mailing address
545 Rainier Blvd N
Suite 21B
Issaquah, WA 98027-2806
Phone (425) 985-2657
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 |
|---|---|---|---|
| 60677348 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478822400000",
"number": "1699217349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 RAINIER BLVD N",
"address_2": "SUITE 21B",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980272806",
"telephone_number": "425-985-2657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 RAINIER BLVD N",
"address_2": "SUITE 21B",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980272806",
"telephone_number": "425-985-2657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKILLMAN",
"first_name": "JOCELYN",
"credential": "LMHC, MHP, CMHS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-11",
"last_updated": "2016-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "60677348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.