Active NPI
Jessica Anthony, M.A., LMHCA
- Behavior Analyst
- Seattle, WA
National Provider Identifier
1720498181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 24 Roy St # 434
Seattle, WA 98109-4018 - Phone
- (206) 384-4142
- NPI assigned
- May 6, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
24 Roy St # 434
Seattle, WA 98109-4018
Mailing address
5624 7TH Ave NW
Seattle, WA 98107-2729
Phone (206) 384-4142
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MC60461664 | Other | WA | MENTAL HEALTH COUNSELOR ASSOCIATE LICENSE |
| CG60436179 | Other | WA | AGENCY AFFILIATED COUNSELOR REGISTRATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 27, 2024 through Dec 27, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399334400000",
"number": "1720498181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5624 7TH AVE NW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981072729",
"telephone_number": "206-384-4142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 ROY ST # 434",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981094018",
"telephone_number": "206-384-4142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTHONY",
"first_name": "JESSICA",
"credential": "M.A., LMHCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-06",
"last_updated": "2014-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH COUNSELOR ASSOCIATE LICENSE",
"identifier": "MC60461664",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGENCY AFFILIATED COUNSELOR REGISTRATION",
"identifier": "CG60436179",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.