Jessica Todd, MA
Individual provider Active NPI Mental Health Counselor · Grayland, WA
NPI 1770031965 · NPPES record last updated Jun 29, 2020
Key facts
- NPI
- 1770031965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LH61072722 (WA)
- Practice address
- 2604 Evergreen Park Rd
Grayland, WA 98547-9745 - Phone
- (303) 990-3467
- NPI assigned
- Sep 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH61072722 | WA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH61072722 | WA | Yes |
Addresses
Primary practice location
2604 Evergreen Park Rd
Grayland, WA 98547-9745
Mailing address
2604 Evergreen Park Rd
Grayland, WA 98547-9745
Phone (303) 990-3467
Other names
- Jessica Persing
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.