Jamie Marlo Selbe, RLSW/RECREATION DIRE

Primary specialty

CounselorTaxonomy code 101Y00000X

License

1200224 Issued in OH

Practice address

16560 167TH St SE
Monroe, WA 98272

Phone

(440) 228-4132

Fax

(440) 275-2055

NPI assigned

Jun 24, 2013

Last updated

Feb 10, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1780023796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16560 167TH ST SE",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982722904",
            "telephone_number": "440-228-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16560 167TH ST SE",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "98272",
            "telephone_number": "440-228-4132",
            "fax_number": "440-275-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELBE",
        "first_name": "JAMIE",
        "middle_name": "MARLO",
        "name_prefix": "Mrs.",
        "credential": "RLSW/RECREATION DIRE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "1200224",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "1200224",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "KS",
            "license": "2010053",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OH",
            "license": "2010053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Monroe, WA
• Providers in Monroe, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.