Active NPI
Jessica Psenski, LMHCA
- Mental Health Counselor
- Kirkland, WA
National Provider Identifier
1952867616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC60891594
- Practice address
- 9757 NE Juanita Dr
Kirkland, WA 98034-4299 - Phone
- (425) 638-2127
- NPI assigned
- Feb 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC60891594 | WA | Primary |
Addresses
Primary practice location
9757 NE Juanita Dr
Kirkland, WA 98034-4299
Mailing address
10517 NE 187TH St
Bothell, WA 98011-3067
Phone (425) 638-2127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 604-285-881 | Other | WA | SECRETARY OF STATE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC60891594 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1952867616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10517 NE 187TH ST",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980113067",
"telephone_number": "425-638-2127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9757 NE JUANITA DR",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980344299",
"telephone_number": "425-638-2127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PSENSKI",
"first_name": "JESSICA",
"credential": "LMHCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-18",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC60891594",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECRETARY OF STATE",
"identifier": "604-285-881",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.