Jennifer Eire Sandoval, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH601800019 Issued in WA

Practice address

16300 Christensen Rd Ste 108
Tukwila, WA 98188-3418

Phone

(206) 851-4881

NPI assigned

Sep 20, 2007

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

Other names 1

• Ms. Jenna Devoid Other name

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": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1790971901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16300 CHRISTENSEN RD STE 108",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981883418",
            "telephone_number": "206-851-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 CHRISTENSEN RD STE 108",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981883418",
            "telephone_number": "206-851-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "JENNIFER",
        "middle_name": "EIRE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60097173",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "601800019",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH601800019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "DEVOID",
            "prefix": "MS.",
            "credential": "M.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Janisa San Agustin
• Abigayle Sanchez
• Silbee Sanchez, LMP
• Brett Douglas Sandlin, CDPT
• Beth Sandman, MD
• Jorie Sanon
• Nicole Sargent
• Tre'Yonna Antoneya Raymona Saunders
• Charles R Saylor, SUDP
• Anne E Scanlon Sawyer, M.S.

• Mental Health Counselor in Tukwila, WA
• Providers in Tukwila, 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 Oct 1, 2021; 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.