Individual provider Active NPI

Jamie Kostek, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1932740636
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61262345 Issued in WA
Practice address
5306 Ballard Ave NW Ste 309
Seattle, WA 98107-4366
Phone
(206) 581-0449
NPI assigned
Oct 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61262345 WA Primary

Addresses

Primary practice location

5306 Ballard Ave NW Ste 309
Seattle, WA 98107-4366

Mailing address

2342 NW 96TH St
Seattle, WA 98117-2548
Phone (206) 581-0449

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

State licenses

LicenseStateTypeSpecialty
LH61262345WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1932740636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2342 NW 96TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981172548",
            "telephone_number": "206-581-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5306 BALLARD AVE NW STE 309",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074366",
            "telephone_number": "206-581-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTEK",
        "first_name": "JAMIE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61262345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.