Jessica Marie

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

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

Phone

(425) 977-4988

Fax

(425) 977-4989

NPI assigned

Mar 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Balanced Living Therapy, LLC

  • Community/Behavioral Health Agency
  • Edmonds, WA
  • NPI 1063855609

  Mental Health

  NPD

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584144000000",
    "number": "1710448444",
    "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",
            "fax_number": "425-977-4989"
        },
        {
            "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",
            "fax_number": "425-977-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIE",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2020-03-14",
        "certification_date": "2020-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terra Rose Mangum, MN, ARNP
• Carolyn P Maret, LICSW
• Mary Margaret, L.M.P.
• Ashlee Marie Margheim, MD
• Anita Marie, LMP
• Kimberly Chelsey Mariscal
• Zoey Markey
• Daniel Markowitz, M.D.
• Sean Patrick Marley, M.D.
• Haley Marshall, LMHCA

• Mental Health Counselor in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2020; 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.