Individual provider Active NPI

Jason L Norris, MA, MED, LMHC, CMHS

  • Mental Health Counselor
  • Vancouver, WA
National Provider Identifier
1730449687
Registry record updated Feb 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60716409 Issued in WA
Practice address
1498 SE Tech Center PL Ste 180
Vancouver, WA 98683-5518
Phone
(360) 200-8670
Fax
(360) 838-0413
NPI assigned
May 25, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60716409 WA Primary

Addresses

Primary practice location

1498 SE Tech Center PL Ste 180
Vancouver, WA 98683-5518

Mailing address

1498 SE Tech Center PL Ste 300
Vancouver, WA 98683-5509
Phone (360) 619-2226

Other practice location 1

1498 SE Tech Center Pl Ste 300
Vancouver, WA 98683-5509
Phone (360) 619-2226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250911000187 WA Practitioner - Mental Health Counselor 5294238853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1498 SE Tech Ctr PL
Vancouver, WA 98683-5518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Education

State licenses

LicenseStateTypeSpecialty
LH60716409WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Real Life Community Behavioral Health PLLC Mental Health CurrentSince May 23, 2025 Accepting new patients
Real Life Counseling PLLC CurrentSince Feb 9, 2025 Accepting new patients
Family Solutions, Inc Past Accepting new patients

Locations

316 W Boone Ave
Ste 377
Spokane, WA 99201

1498 SE Tech Center Pl
Ste 180
Vancouver, WA 98683
Phone (360) 200-8670

1498 SE Tech Center Pl
Ste 300
Vancouver, WA 98683
Phone (360) 567-2200

3606 Main St
Ste 205
Vancouver, WA 98663
Phone (360) 200-8670

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/family-solutions/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738972800000",
    "number": "1730449687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 SE TECH CENTER PL STE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835509",
            "telephone_number": "360-619-2226",
            "fax_number": "360-326-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 SE TECH CENTER PL STE 180",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835518",
            "telephone_number": "360-200-8670",
            "fax_number": "360-838-0413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1498 SE Tech Center Pl Ste 300",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986835509",
            "country_code": "US",
            "telephone_number": "360-619-2226",
            "fax_number": "360-326-9691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "JASON",
        "middle_name": "L",
        "credential": "MA, MED, LMHC, CMHS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-25",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60716409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.