Individual provider Active NPI

Jeannie Flavin, MS

  • Counselor
  • Oak Harbor, WA
National Provider Identifier
1750740700
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
31955 State Route 20
Suite No 3
Oak Harbor, WA 98277-5211
Phone
(360) 279-9000
NPI assigned
Feb 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

31955 State Route 20
Suite No 3
Oak Harbor, WA 98277-5211

Mailing address

31955 State Route 20
Suite No 3
Oak Harbor, WA 98277-5211
Phone (360) 279-9000

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1750740700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31955 STATE ROUTE 20",
            "address_2": "SUITE NO 3",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775211",
            "telephone_number": "360-279-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31955 STATE ROUTE 20",
            "address_2": "SUITE NO 3",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775211",
            "telephone_number": "360-279-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAVIN",
        "first_name": "JEANNIE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.