Theresa K Jaworski, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00006382 Issued in WA

Practice address

229 Broadway E
Suite 20
Seattle, WA 98102-5787

Phone

(206) 524-5101

Fax

(206) 628-6024

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

No

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

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

Credentials

Master of Arts

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.

• Maitri Counseling Service

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Seattle, WA
  • NPI 1396360426
  NPD (past) Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1740389477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 BROADWAY E",
            "address_2": "SUITE 20",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981025787",
            "telephone_number": "206-524-5101",
            "fax_number": "206-628-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 BROADWAY E",
            "address_2": "SUITE 20",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981025787",
            "telephone_number": "206-524-5101",
            "fax_number": "206-628-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAWORSKI",
        "first_name": "THERESA",
        "middle_name": "K",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00006382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Richard Javier, D.D.S.
• Things Susu Jaw
• Vijaya Bharathi Jawaharlal
• Alieu Jawara, CRNA, DNP
• John Jay Jaworski, MA LMHC
• Jay Chen M.D., P.S.
• Jay Zhou Medical Corporation
• Jay Zhou Medical Corporation
• Suman Jayadev, MD
• Srinidhi Jayadevappa Meera

• 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 Dec 4, 2014; 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.