Individual provider Active NPI

Jesamie Flynn Salvesen, MA

  • Marriage & Family Therapist
  • Lynnwood, WA
National Provider Identifier
1700246246
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MG60765085 Issued in WA
Practice address
4525 164TH St SW Apt H302
Lynnwood, WA 98087-8626
Phone
(707) 616-0885
Fax
(206) 770-7214
NPI assigned
Feb 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MG60765085 WA Primary

Addresses

Primary practice location

4525 164TH St SW Apt H302
Lynnwood, WA 98087-8626

Mailing address

4525 164TH St SW Apt H302
Lynnwood, WA 98087-8626
Phone (707) 616-0885

Other identifiers 1

IdentifierTypeStateIssuer
MG60765085OtherWAMARRIAGE AND FAMILY THERAPIST ASSOCIATE LICENSE

Other names 1

  • Ms. Jessica Marie Flynn Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.jessflynntherapy.com/contact-us Direct

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

LicenseStateTypeSpecialty
MG60765085WAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1700246246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 164TH ST SW APT H302",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980878626",
            "telephone_number": "707-616-0885",
            "fax_number": "206-770-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 164TH ST SW APT H302",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980878626",
            "telephone_number": "707-616-0885",
            "fax_number": "206-770-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVESEN",
        "first_name": "JESAMIE",
        "middle_name": "FLYNN",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG60765085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE AND FAMILY THERAPIST ASSOCIATE LICENSE",
            "identifier": "MG60765085",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.jessflynntherapy.com/contact-us",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "4525 164th St SW Apt H302",
            "city": "Lynnwood",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980878626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "FLYNN",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.