Active NPI
Jesse Hope Spivack, MS, CN, LMHC
- Mental Health Counselor
- Silverdale, WA
National Provider Identifier
1841747631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC60684320
- Practice address
- 5026 NW Uff Da LN
Silverdale, WA 98383-9616 - Phone
- (541) 505-0685
- NPI assigned
- Sep 8, 2016
- Last updated
- Apr 3, 2025
- Sex
- Female
- 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 | MC60684320 | WA | Primary |
Addresses
Primary practice location
5026 NW Uff Da LN
Silverdale, WA 98383-9616
Mailing address
5026 NW Uff Da LN
Silverdale, WA 98383-9616
Phone (541) 505-0685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC60684320 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1841747631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5026 NW UFF DA LN",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983839616",
"telephone_number": "541-505-0685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5026 NW UFF DA LN",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983839616",
"telephone_number": "541-505-0685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIVACK",
"first_name": "JESSE",
"middle_name": "HOPE",
"credential": "MS, CN, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-08",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC60684320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.