Active NPI
Jessica Pacheco
- Counselor
- Seattle, WA
National Provider Identifier
1851011399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1116 Summit Ave
Seattle, WA 98101-2831 - Phone
- (206) 322-7676
- NPI assigned
- Sep 2, 2022
- Last updated
- Sep 2, 2022
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1116 Summit Ave
Seattle, WA 98101-2831
Mailing address
1116 Summit Ave
Seattle, WA 98101-2831
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201420182022 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jessp6@uw.edu | Other |
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
Interoperability endpoints
- jessica.pacheco.p3@direct.hpc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1851011399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 SUMMIT AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1116 SUMMIT AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012831",
"telephone_number": "206-322-7676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-02",
"last_updated": "2022-09-02",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201420182022",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jessp6@uw.edu",
"affiliation": "N",
"endpointDescription": "UW student Email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Internship",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1116 Summit Ave",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981012831",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.