Active NPI
Jenny Wilson Counseling
- Mental Health Counselor
- Bainbridge Island, WA
National Provider Identifier
1942035894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- JENNY WILSON COUNSELING
- Practice address
- 785 Ericksen Ave NE Unit 178
Bainbridge Island, WA 98110-1875 - Phone
- (206) 383-5309
- NPI assigned
- Sep 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer E Wilson, MA, SUDP
- Title
- Owner
- Phone
- (206) 383-5309
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
785 Ericksen Ave NE Unit 178
Bainbridge Island, WA 98110-1875
Mailing address
8122 NE Seaview Ave Unit 178
Indianola, WA 98342-5100
Phone (206) 383-5309
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Seattle, WA
- NPI 1073991394
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725235200000",
"number": "1942035894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8122 NE SEAVIEW AVE UNIT 178",
"city": "INDIANOLA",
"state": "WA",
"postal_code": "983425100",
"telephone_number": "206-383-5309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 ERICKSEN AVE NE UNIT 178",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981101875",
"telephone_number": "206-383-5309"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNY WILSON COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-02",
"last_updated": "2024-09-02",
"certification_date": "2024-09-02",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "206-383-5309",
"authorized_official_credential": "MA, SUDP"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bainbridge Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.