Active NPI
Jesamie Flynn Salvesen, MA
- Marriage & Family Therapist
- Lynnwood, WA
National Provider Identifier
1700246246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MG60765085
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MG60765085 | Other | WA | MARRIAGE AND FAMILY THERAPIST ASSOCIATE LICENSE |
Other names 1
- Ms. Jessica Marie Flynn
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MG60765085 | WA | MD | Marriage & 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.