Individual provider Active NPI

Jennifer L Trahan

  • Counselor
  • Tacoma, WA
National Provider Identifier
1861745929
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
6623 50TH Ave E
Tacoma, WA 98443-2322
Phone
(253) 993-8597
Fax
(253) 993-8597
NPI assigned
Oct 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

6623 50TH Ave E
Tacoma, WA 98443-2322

Mailing address

6623 50TH Ave E
Tacoma, WA 98443-2322
Phone (253) 993-8597

Other practice location 1

5410 N. 44th St.
Tacoma, WA 98407
Phone (253) 445-8120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1861745929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6623 50TH AVE E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984432322",
            "telephone_number": "253-993-8597",
            "fax_number": "253-993-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6623 50TH AVE E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984432322",
            "telephone_number": "253-993-8597",
            "fax_number": "253-993-8597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5410 N. 44th St.",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "98407",
            "country_code": "US",
            "telephone_number": "253-445-8120",
            "fax_number": "253-697-3730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAHAN",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-25",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.