Jenna Laurize Patterson, CDP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MG60603744 Issued in WA

Practice address

1309 Bendigo Blvd N
North Bend, WA 98045-8945

Phone

(425) 209-8216

NPI assigned

Sep 14, 2012

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

State licenses

Practice roles

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

• James Morley Professional Service

  • Mental Health Counselor
  • North Bend, WA
  • NPI 1467953729

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477699200000",
    "number": "1720338957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 BENDIGO BLVD N",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458945",
            "telephone_number": "425-209-8216",
            "fax_number": "425-671-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 BENDIGO BLVD N",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458945",
            "telephone_number": "425-209-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "JENNA",
        "middle_name": "LAURIZE",
        "credential": "CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2016-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60296823",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MG60603744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric J Opsvig, D.D.S.
• Frankie Eugene Orr, LMP
• Elena Kathaleen Overland, LMP
• Alexandria Packard, LMFTA
• Tatianna Para, LMT
• Gereg A Pfiffner, DC
• Phases Clinic, PLLC
• Ann Plana, MA, LMHCA
• Prana Physical Therapy
• Jody Welcker Provine, PTA

• Mental Health Counselor in North Bend, WA
• Providers in North Bend, 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 Oct 29, 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.

Verify at the official NPI Registry.