Jessyca Vencill-Opp, MA, MHP, LMHC, SUDP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC6081310 Issued in WA

Practice address

4514 Toutle CT SE
Olympia, WA 98501-9573

Phone

(360) 584-4106

NPI assigned

Aug 13, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jessyca Nechelle Opp-Sobania Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 10, 2024 through Apr 10, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1902272990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4514 TOUTLE CT SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985019573",
            "telephone_number": "360-584-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4514 TOUTLE CT SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985019573",
            "telephone_number": "360-584-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENCILL-OPP",
        "first_name": "JESSYCA",
        "credential": "MA, MHP, LMHC, SUDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-13",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60943211",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC6081310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSYCA",
            "last_name": "OPP-SOBANIA",
            "middle_name": "NECHELLE",
            "credential": "MA, MHP, SUDP, LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maya Xera Vekich
• Nicole Elya Vela, BA, CDP
• Isabella Margarita Velasquez
• Praveena O Velupula, DDS
• Stefanee Rose Venable, LMP
• Gaylene Venida
• Juliette Vento-Camacho
• Chrystel Therese Venturini, MD
• Giobany Uriel Vera-Bobadilla
• Kristin Rachel Vernon, DDS

• Mental Health Counselor in Olympia, WA
• Providers in Olympia, 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 Dec 31, 2021; 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.

Verify at the official NPI Registry.