Jacqueline Ann Fogerty, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60040615 Issued in WA

Practice address

9706 4TH Ave NE
Suite 303
Seattle, WA 98115-2157

Phone

(206) 302-2900

Fax

(206) 302-2910

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1932253572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E OLIVE ST",
            "address_2": "SEATTLE MENTAL HEALTH",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222735",
            "telephone_number": "206-302-2200",
            "fax_number": "206-302-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9706 4TH AVE NE",
            "address_2": "SUITE 303",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152157",
            "telephone_number": "206-302-2900",
            "fax_number": "206-302-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGERTY",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60040615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodora A Fogarty, LMP
• Jane Ann Fogdall, RN, IBCLC
• Anna Levu Fogel, RD
• Elise Linehan Fogel, CNM, ARNP
• Johri Fogerson, LMP
• Richard Alan Fogerty, M.D.
• Shannon Elizabeth Fogh, M.D.
• Richelle Johanna Fohn
• Anita C Fok, DDS
• Jason Foldvik, MS, LMHC

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, 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 Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.