Active NPI
Jennifer Marie Evinger, LMHC
- Mental Health Counselor
- Fircrest, WA
National Provider Identifier
1740539675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60306224
- Practice address
- 1019 Regents Blvd Ste 102
Fircrest, WA 98466-6037 - Phone
- (253) 561-2183
- NPI assigned
- Sep 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60306224 | WA | Primary |
Addresses
Primary practice location
1019 Regents Blvd Ste 102
Fircrest, WA 98466-6037
Mailing address
1019 Regents Blvd Ste 102
Fircrest, WA 98466-6037
Phone (253) 561-2183
Other names 1
- Jennifer Marie Palumbo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60306224 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopesparks | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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": "1346889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590451200000",
"number": "1740539675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 REGENTS BLVD STE 102",
"city": "FIRCREST",
"state": "WA",
"postal_code": "984666037",
"telephone_number": "253-561-2183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1019 REGENTS BLVD STE 102",
"city": "FIRCREST",
"state": "WA",
"postal_code": "984666037",
"telephone_number": "253-561-2183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVINGER",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-06",
"last_updated": "2020-05-26",
"certification_date": "2020-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60306224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "PALUMBO",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fircrest, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.