Jaelyn Lindsey, LICSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

61535032 Issued in WA

Practice address

204 W 2ND St
Grandview, WA 98930-1361

Phone

(509) 837-1676

NPI assigned

Jan 17, 2025

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Heartlinks

  • Case Management Agency
  • Grandview, WA
  • NPI 1194410530
  NPD
• Heartlinks

  • Community Based Hospice Care Agency
  • Grandview, WA
  • NPI 1255418430
  NPD

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1720899792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W 2ND ST",
            "city": "GRANDVIEW",
            "state": "WA",
            "postal_code": "989301361",
            "telephone_number": "509-837-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W 2ND ST",
            "city": "GRANDVIEW",
            "state": "WA",
            "postal_code": "989301361",
            "telephone_number": "509-837-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "JAELYN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61535032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW",
            "identifier": "61535032",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mandelise Nafica Laudat, MD
• Brandon Kenneth Lawrence
• Ana D Licano, LMP
• Phoebe Dang Lim-Vuong, DNP, FNP-BC
• Fanning Lin
• Alfredo Loera, PA-C
• Kelli Anne Lytle, RD
• Zuzana Madrigal, MSW, LSWAIC
• Anmol Kaur Malli, MD
• Kevin Mangat

• Mental Health Counselor in Grandview, WA
• Providers in Grandview, 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 Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.