Jennifer Lynn Favell, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00004801 Issued in WA

Practice address

3240 W Viewmont Way W
Seattle, WA 98199-2442

Phone

(206) 265-3376

NPI assigned

May 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720298003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 W VIEWMONT WAY W",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981992442",
            "telephone_number": "206-265-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 W VIEWMONT WAY W",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981992442",
            "telephone_number": "206-265-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVELL",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00004801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fauntleroy Naturopathic Medicine
• Jason Michael Fauntleroy, ND
• Myra Kim Faust, OTR
• James Arthur Fausto Jr., MD
• Stella Cha Fausto, MSW, LICSW
• Katyjo Favia, PT
• Logan Favia, ED.S.
• Jennifer Favinger, MD
• Justin John Favreau, D.C.
• Elisabeth Ann Faw, RDN

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, 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 Jul 8, 2007; 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.