Jacqueline Marie Delisle, LMFT, MHP, CMHS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF60651912 Issued in WA

Practice address

221 Wells Ave S
Renton, WA 98057-2161

Phone

(206) 794-8109

Fax

(425) 226-6153

NPI assigned

Apr 14, 2014

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Valley Cities Counseling and Consultation

  • Community/Behavioral Health Agency
  • Kent, WA
  • NPI 1972668853
  Medicare reassignment NPD

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1982023446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 WELLS AVE S",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572161",
            "telephone_number": "206-794-8109",
            "fax_number": "425-226-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 WELLS AVE S",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572161",
            "telephone_number": "206-794-8109",
            "fax_number": "425-226-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELISLE",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "credential": "LMFT, MHP, CMHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60651912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Decker, PTA
• Dee's Adult Family Home L.L.C
• Graciela Del Rio, MD
• Megan Deleon
• April Delayne Delgado, RN
• Martine Delmulle
• Aya Demar, PHD
• Susan E Demattos
• Fern Elizabeth Demello
• Sara Jean Denherder, LMP

• Marriage & Family Therapist in Renton, WA
• Providers in Renton, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.