Active NPI
Sean Michael Jackson, MA, LMHC
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1831468404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH 60018126
- Practice address
- 1817 Queen Anne Ave N
#409
Seattle, WA 98109-2876 - Phone
- (206) 369-4792
- NPI assigned
- Dec 27, 2011
- Sex
- Male
- Sole proprietor
- No
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 | LH 60018126 | WA | Primary |
Addresses
Primary practice location
1817 Queen Anne Ave N
#409
Seattle, WA 98109-2876
Mailing address
1817 Queen Anne Ave N
#409
Seattle, WA 98109-2876
Phone (206) 369-4792
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH 60018126 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324944000000",
"number": "1831468404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1817 QUEEN ANNE AVE N",
"address_2": "#409",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981092876",
"telephone_number": "206-369-4792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1817 QUEEN ANNE AVE N",
"address_2": "#409",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981092876",
"telephone_number": "206-369-4792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "SEAN",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "MA, LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-27",
"last_updated": "2011-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH 60018126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.